Individual
LASHARON SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
37 NINS LANE, MURPHYSBORO, WI 62966
(414) 336-5447
Mailing address
37 NINS LANE, MURPHYSBORO, WI 62966
(414) 336-5447
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
S5305046474708
WI
Other
Enumeration date
12/29/2015
Last updated
12/29/2015
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