Mrs. Lisa Dian Smith
Nurse Practitioner
1806 Lee Ave
Tifton
, Georgia 31794-3639
Mrs. Lisa Dian Smith
Nurse Practitioner
1806 Lee Ave
Tifton
, Georgia 31794-3639
(229) 388-0556
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About
Features
Specialties
- Nurse Practitioner
Languages spoken
- English
Location
First Address
- Mrs. Lisa Dian Smith
- 1806 Lee Ave
- Tifton, GA
- Zip : 31794-3639
- Fax : (229) 388-0556
- Phone : (229) 386-1528
Second Address
- Mrs. Lisa Dian Smith
- 1806 Lee Ave
- Tifton, GA
- Zip : 31794-3639
- Fax : (229) 388-0556
- Phone : (229) 386-1528
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN176448 | GA |
National Provider Identifier
| NPI | 1003241522 |
|---|---|
| Provider Name | Mrs. Lisa Dian Smith |
| First Address | Tifton, GA 31794-3639 |
| Second Address | Tifton, GA 31794-3639 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/09/2013 |
| Last Update Date | 04/09/2013 |
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.