Smith, Lisa Godwin

Smith, Lisa Godwin is an individual health care provider with primary practice located at 5227 Buckeystown Pike , Frederick MD 21704-7535. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Smith, Lisa Godwin can be contacted via phone (301) 846-4055.

Contact Information

Primary practice address
5227 Buckeystown Pike Frederick MD 21704-7535
Phone: (301) 846-4055
Fax: (301) 846-4158
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TA1519 Maryland

Profile Details

NPI number 1093877862
LBN Legal business name Smith, Lisa Godwin
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2006
Last updated Nov 1st, 2011 - about 15 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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