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Individual

LEM MICHAEL SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1035 116TH AVE NE, BELLEVUE, WA 98004-4604
(425) 688-5777
Mailing address
335 GLESSNER AVE RM 325, MANSFIELD, OH 44903-2269
(419) 520-2495

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036.140995
IL
207Q00000X
Family Medicine Physician
35-132398
OH
207Q00000X
Family Medicine Physician
Primary
MD61414100
WA

Other

Enumeration date
04/01/2013
Last updated
08/03/2023
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