Smith, Lisa D
Smith, Lisa D is an sole proprietor health care provider with primary practice located at 1836 Virginia Ave , Martinsville VA 24112-8490. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Smith, Lisa D can be contacted via phone (833) 510-4357.Contact Information
Primary practice address
1836 Virginia Ave
Martinsville VA 24112-8490
Phone: (833) 510-4357
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0110002427 | Virginia |
Profile Details
| NPI number | 1396827994 |
|---|---|
| LBN Legal business name | Smith, Lisa D |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 20th, 2006 |
| Last updated | Jan 13th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396827994 | NPPES |
| Virginia | MEDICAID | 010340420 |
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