Individual
DR. LISA L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4805 SUDER AVENUE, SUITE A, TOLEDO, OH 43611-1800
(419) 726-1585
(419) 726-0381
Mailing address
4235 SECOR RD, TOLEDO, OH 43623
(419) 473-3561
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35070156
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2020119
—
OH
Enumeration date
06/16/2005
Last updated
01/25/2010
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