Individual
LISA M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
121 NATIONWIDE DR, SUITE A, LYNCHBURG, VA 24502-4272
(434) 384-1862
(434) 384-7704
Mailing address
121 NATIONWIDE DR, SUITE A, LYNCHBURG, VA 24502-4272
(434) 384-1862
(434) 384-7704
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024120815
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010249414
—
VA
Enumeration date
10/24/2006
Last updated
07/08/2007
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