Individual
LISA LYN MCGONEGAL-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1290 E BROOMFIELD ST, MT PLEASANT, MI 48858-4449
(989) 773-1209
(989) 773-4267
Mailing address
1290 E BROOMFIELD ST, MT PLEASANT, MI 48858-4449
(989) 773-1209
(989) 773-4267
Taxonomy
Speciality
Code
Description
License number
State
2355A2700X
Audiology Assistant
3501002983
MI
237700000X
Hearing Instrument Specialist
Primary
3501002983
MI
Other
Enumeration date
03/14/2012
Last updated
03/08/2013
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