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Contact Information

LISA M SMITH, PT
200 MERCY CIRCLE
BOX 555191 NAVAL HOSPITAL CAMP PENDLETON
CAMP PENDLETON, CA92055
 Phone: 760-719-3675
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

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

NPI Number 1205951340
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 03/20/2007
Last updated 03/03/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CA License # 15080
  • FL License # 38474
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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