Individual
MRS. LASHANE RAMONA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
606 MCDONALD DR APT C2, CLINTON, MS 39056-5302
(601) 278-4773
Mailing address
606 MCDONALD DR APT C2, CLINTON, MS 39056-5302
(601) 278-4773
Taxonomy
Speciality
Code
Description
License number
State
163WI0600X
Infection Control Registered Nurse
Primary
914319
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
914319
MS BOARD OF NURSING LICENSE
MS
Enumeration date
01/04/2021
Last updated
01/04/2021
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