Individual
KATRINA JOYCE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2025 S WASHINGTON AVE STE 210, LANSING, MI 48910-0817
(517) 371-1111
(517) 371-1121
Mailing address
2025 S WASHINGTON AVE STE 210, LANSING, MI 48910-0817
(517) 371-1111
(517) 371-1121
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703101851
MI
Other
Enumeration date
11/15/2019
Last updated
11/15/2019
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