Individual
LISA ANNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1000 E CHERRY ST, TROY, MO 63379-1513
(636) 528-3495
Mailing address
1000 E CHERRY ST, TROY, MO 63379-1513
(636) 528-3495
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2016038650
MO
Other
Enumeration date
11/08/2016
Last updated
02/08/2024
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