Lisa Lee Smith
Nurse Practitioner - Family Medicine
1414 W Fair Ave Ste 35
Marquette
, Michigan 49855-2675
Lisa Lee Smith
Nurse Practitioner - Family Medicine
1414 W Fair Ave Ste 35
Marquette
, Michigan 49855-2675
(906) 449-1844
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Lisa Lee Smith
- 1414 W Fair Ave Ste 35
- Marquette, MI
- Zip : 49855-2675
- Fax : (906) 449-1844
- Phone : (906) 449-1140
Second Address
- Lisa Lee Smith
- 1414 W Fair Ave Ste 35
- Marquette, MI
- Zip : 49855-2675
- Fax : (906) 449-1844
- Phone : (906) 449-1140
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 2017003713 | MO |
National Provider Identifier
| NPI | 1003349937 |
|---|---|
| Provider Name | Lisa Lee Smith |
| First Address | Marquette, MI 49855-2675 |
| Second Address | Marquette, MI 49855-2675 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/04/2017 |
| Last Update Date | 06/03/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1003349937 | (05) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.