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NPI Profile for LISA J SMITH in CHESTERFIELD, MO.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Ambulatory Surgical |
261QA1903X | 49 | Ambulatory Surgical Center |
| NPI Number | 1760694954 |
|
| Status | Active | |
| Credentials | RN,MSN,NP | |
| Entity | Individual | |
| Enumeration date | 05/03/2007 | |
| Last updated | 07/08/2007 - About 19 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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LISA J SMITH
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LISA J SMITH, RN,MSN,NP