Individual
LISA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27 PARK STREET, HYANNIS, MA 02601
(508) 771-1800
Mailing address
110 MAIN ST, UNIT B, HYANNIS, MA 02601-3127
(508) 775-5011
(508) 775-4754
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
226658
MA
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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