Individual
LORI E SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3400 SPRUCE ST, DULLES 5, PHILADELPHIA, PA 19104-4206
(215) 662-3232
Mailing address
3400 SPRUCE ST, DULLES 5, PHILADELPHIA, PA 19104-4206
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN549036
PA
363LW0102X
Women's Health Nurse Practitioner
SP009204
PA
Other
Enumeration date
02/12/2007
Last updated
08/02/2012
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