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Individual

MS. LISA ANN SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1627 E. BROOMFIELD ST., MOUNT PLEASANT, MI 48858
(989) 779-9988
(989) 779-9955
Mailing address
1627 E. BROOMFIELD ST., MOUNT PLEASANT, MI 48858
(989) 779-9988
(989) 779-9955

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
MI

Other

Enumeration date
09/05/2012
Last updated
09/05/2012
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