Individual
LISA NICOLE SMITH
Active
Individual
LISA NICOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT007177
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000383362
ANTHEM
OH
05
—
2632520
—
OH
01
—
9139525
PHCS
OH
01
—
P00334373
MEDICARE RAILROAD
OH
Enumeration date
12/30/2005
Last updated
01/03/2014
Update your record
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