Individual
LELA ANNE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1423 N JEFFERSON AVE, SPRINGFIELD, MO 65802-1917
(718) 916-7393
Mailing address
4573 SILO HILLS DR, SPRINGFIELD, MO 65802-7117
(718) 916-7393
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2015001677
MO
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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