Individual
LONNY W SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1447 N HARRISON ST, SAGINAW, MI 48602-4727
(989) 583-7000
Mailing address
2432 GENESYS PKWY, GRAND BLANC, MI 48439-8069
(810) 606-6499
(810) 606-7245
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704169618
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4779482
—
MI
Enumeration date
08/21/2006
Last updated
05/07/2026
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