Individual
MRS. LANA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
404 CHARLES ST, LA PLATA, MD 20646-3526
(301) 934-9391
Mailing address
404 CHARLES ST, LA PLATA, MD 20646-3526
(301) 934-9391
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R190603
MD
Other
Enumeration date
09/05/2019
Last updated
09/06/2019
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