Smith, Lisa Dian

Smith, Lisa Dian is an individual health care provider with primary practice located at 1806 Lee Ave , Tifton GA 31794-3639. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Smith, Lisa Dian can be contacted via phone (229) 386-1528.

Contact Information

Primary practice address
1806 Lee Ave Tifton GA 31794-3639
Phone: (229) 386-1528
Fax: (229) 388-0556
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN176448 Georgia

Profile Details

NPI number 1003241522
LBN Legal business name Smith, Lisa Dian
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2013
Last updated Sep 4th, 2013 - about 11 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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