Smith, Lisa Helene
Smith, Lisa Helene is an individual health care provider with primary practice located at 705 Riley Hospital Dr # 1340 , Indianapolis IN 46202-5109. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Neurophysiology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Smith, Lisa Helene can be contacted via phone (317) 948-7450.Contact Information
Primary practice address
705 Riley Hospital Dr # 1340
Indianapolis IN 46202-5109
Phone: (317) 948-7450
Fax: (317) 948-3408
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | 01063998A | Indiana |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 01063998A | Indiana |
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | 01063998A | Indiana |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 1063998A | Indiana |
Profile Details
| NPI number | 1043293236 |
|---|---|
| LBN Legal business name | Smith, Lisa Helene |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 22nd, 2005 |
| Last updated | May 10th, 2024 - about 4 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043293236 | NPPES |
| Indiana | Other | 000000628410 | ANTHEM PTAN |
| Indiana | Other | 262210G | ANTHEM PTAN |
| Indiana | Other | 1102246535 | ANTHEM PTAN |
| Indiana | MEDICAID | 200889720 | ANTHEM PTAN |
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