Wasemiller-Smith, Lisa J
Wasemiller-Smith, Lisa J is an sole proprietor health care provider with primary practice located at 11200 N Portland Ave , Oklahoma City OK 73120-5045. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Wasemiller-Smith, Lisa J can be contacted via phone (405) 936-1100.Contact Information
Primary practice address
11200 N Portland Ave
Oklahoma City OK 73120-5045
Phone: (405) 936-1100
Fax: (405) 936-1122
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD13137 | Oklahoma |
Profile Details
| NPI number | 1417954504 |
|---|---|
| LBN Legal business name | Wasemiller-Smith, Lisa J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 5th, 2005 |
| Last updated | May 15th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417954504 | NPPES |
| Oklahoma | MEDICAID | 100824630A | |
| Oklahoma | MEDICAID | 100824630C |
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