Individual
LAKEIDRE BERNASHIA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6800 PRESTON RD, PLANO, TX 75024-2505
(469) 951-0138
Mailing address
500 E FRONT ST STE 160-161, ARLINGTON, TX 76011-7222
(469) 951-0138
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP144789
TX
Other
Enumeration date
02/04/2020
Last updated
09/25/2024
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