Individual
DR. LYNN ALDERSON SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
150 MENTOR AVE STE 2, PAINESVILLE, OH 44077-3225
(440) 354-4312
(440) 357-7734
Mailing address
820 MENTOR AVE, PAINESVILLE, OH 44077-2518
(440) 352-8744
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-02-9462-S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0133108
—
OH
Enumeration date
12/11/2006
Last updated
07/08/2007
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