Doctor Name: | LYNN M SMITH |
NPI Number: | 1255361101 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 9229817 |
Business Practice Address: | 13925 17th St Dade City, FL - 335254603 |
Business Phone Number: | 3525676763 |
Business Fax Number: | |
Mailing Address: | 5212 Greystone Dr, SPRING HILL |
State: | FL |
Postal Code: | 346090485 |
Phone Number: | 3522006069 |
Fax Number: | |
NPI Enumeration Date: | 07/04/2006 |
NPI Last Update Date: | 03/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 9229817 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |