| Doctor Name: | MRS. LANA JOAN SMITH |
| NPI Number: | 1013049618 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | C0001876 |
| Business Practice Address: | 981 Russell Ave James Matthews, M.d. Gaithersburg, MD - 208796219 |
| Business Phone Number: | 3012162065 |
| Business Fax Number: | 3012162065 |
| Mailing Address: | 10111 Maple Leaf Dr, MONTGOMERY VILLAGE |
| State: | MD |
| Postal Code: | 208861117 |
| Phone Number: | 2406310139 |
| Fax Number: | |
| NPI Enumeration Date: | 03/09/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | C0001876 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |