Individual
MS. LISA DAWN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
55 BROADWAY, SUITE #2, BANGOR, ME 04401-5201
(207) 947-0469
(207) 947-5368
Mailing address
55 BROADWAY, SUITE #2, BANGOR, ME 04401-5201
(207) 947-0469
(207) 947-5368
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP151125
ME
Other
Enumeration date
09/01/2015
Last updated
09/01/2015
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