LISA SMITH

DECATUR, IL
NPI1134194160
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: IL  209.004906)
Enumeration Date2006-02-22
Last Update Date2014-03-13
Business Address
Mrs. LISA SMITH PNP
2905 N MAIN ST
DECATUR, IL 62526-4274
Phone number: 217-877-9117
Mailing Address
Mrs. LISA SMITH PNP
2905 N MAIN ST
DECATUR, IL 62526-4274
Phone number: 217-877-9117
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