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Individual

MRS. LASASSHA ALEXANDRIA SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
475 TRIBBLE GAP RD, CUMMING, GA 30040-2478
(470) 758-8573
Mailing address
260 ELM ST, CUMMING, GA 30040-2467
(470) 758-8573

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
223275
SC
163W00000X
Registered Nurse
285857
GA
363L00000X
Nurse Practitioner
285857
GA
363LW0102X
Women's Health Nurse Practitioner
Primary
RN285857
GA

Other

Enumeration date
05/01/2018
Last updated
08/06/2024
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