Individual
LACREASHA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 OHIO AVE N STE A, LIVE OAK, FL 32064-2464
(386) 365-9117
Mailing address
1068 SE PUTNAM ST, LAKE CITY, FL 32025-5441
(386) 365-9117
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
10098
FL
Other
Enumeration date
01/31/2024
Last updated
01/31/2024
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