Individual
LUCY LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
13700 ST FRANCIS BLVD, SUITE 600, MIDLOTHIAN, VA 23114-3222
(804) 794-6400
(804) 897-0910
Mailing address
13700 ST FRANCIS BLVD, SUITE 600, MIDLOTHIAN, VA 23114-3222
(804) 794-6400
(804) 897-0910
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024170983
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C09462
GROUP PTAN
VA
Enumeration date
10/01/2013
Last updated
02/08/2016
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