Individual
LISA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
125 BAY VIEW AVE, RIVERSIDE, RI 02915-4955
(401) 438-3706
Mailing address
44 KENYON DR, SEEKONK, MA 02771-3820
(508) 336-3566
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN31996
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LS32760
—
RI
Enumeration date
03/17/2007
Last updated
07/09/2007
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