Individual
LORITA VALERIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
8650 BALLARD LN, INDIANAPOLIS, IN 46239-1592
(765) 513-4695
Mailing address
8650 BALLARD LN, INDIANAPOLIS, IN 46239-1592
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71006804A
IN
363LX0106X
Occupational Health Nurse Practitioner
F1016083
IN
Other
Enumeration date
07/25/2017
Last updated
11/03/2020
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