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Contact Information

LISA R SMITH, CNM
1541 KINGS HWY
SHREVEPORT, LA71103-4228
 Phone: 318-626-0000
 Fax: 318-629-4833
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
 

Women's Health

363LW0102X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for LISA R SMITH · (Female)

NPI Number 1306309125
Status Active
Credentials CNM (Certified Nurse Midwife)
Entity Individual
Enumeration date 04/09/2019
Last updated 01/17/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 202048
  • LA Medicaid 2503707
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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