Individual
MS. TERRI LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3251 W 9TH ST, WATERLOO, IA 50702-5310
(319) 234-2893
(319) 234-0354
Mailing address
517 MONTERO DR, WATERLOO, IA 50703-5437
(319) 961-6279
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P39077
IA
Other
Enumeration date
12/27/2006
Last updated
07/08/2007
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