Individual
MRS. LISE NICOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
H.I.S
Contact information
Practice address
4534 W GATE BLVD, SUITE 106, AUSTIN, TX 78745-1485
(512) 284-7500
Mailing address
4534 W GATE BLVD, SUITE 106, AUSTIN, TX 78745-1485
(512) 284-7500
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
80574
TX
Other
Enumeration date
01/28/2015
Last updated
01/28/2015
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