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Individual

MS. LORRAINE M SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
1722 BETHLEHEM PIKE, FLOURTOWN, PA 19031-1644
(215) 233-9700
(215) 233-9710
Mailing address
PO BOX 820933, PHILADELPHIA, PA 19182-0933
(215) 233-9700
(215) 233-9710

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
UP005401B
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
UP005401B
CRNP LICENSE
PA
Enumeration date
10/05/2006
Last updated
12/12/2013
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