Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 2017-00674 | NC |
N | 111NI0900X | Internist | 2017-00674 | NC |
N | 207R00000X | Internist | P1230 | TX |
N | 111NI0900X | Internist | P1230 | TX |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 2017-00674 | NC |
N | 207RC0000X | Internist - Cardiovascular Disease | 2017-00674 | NC |
NPI | 1710256094 |
---|---|
Provider Name | Dr. Lavone Andrea Smith |
First Address | Charlotte, NC 28260-2381 |
Second Address | Asheville, NC 28801-4601 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/12/2011 |
Last Update Date | 07/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
299972403 | (05) | TX |