Smith, Lesley Jacqueline

Smith, Lesley Jacqueline is an individual health care provider with primary practice located at 1601 Nw 12Th Ave Mailman Center 3005A, Div Peds Gi & Nutriton, Miami FL 33136-1005. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, Allopathic & Osteopathic Physicians / Pediatric Transplant Hepatology. Allopathic & Osteopathic Physicians / Pediatric Transplant Hepatology is her primary health care specialty. Smith, Lesley Jacqueline can be contacted via phone (305) 243-6426.

Contact Information

Primary practice address
1601 Nw 12Th Ave Mailman Center 3005A, Div Peds Gi & Nutriton Miami FL 33136-1005
Phone: (305) 243-6426
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 002327 New York
Allopathic & Osteopathic Physicians / Pediatric Transplant Hepatology 2080T0004X ME98235 Florida

Profile Details

NPI number 1932171196
LBN Legal business name Smith, Lesley Jacqueline
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Jan 30th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932171196 NPPES
New York MEDICAID 02635203

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