Individual
MRS. LISA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
42 MCGINNIS DR, WAYNE, WV 25570-9553
(304) 272-5136
(304) 272-3807
Mailing address
PO BOX 1680, HUNTINGTON, WV 25717-1680
(304) 697-1396
(304) 697-2086
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
73160
WV
Other
Enumeration date
06/24/2015
Last updated
07/06/2023
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