LISA SMITH

LACKLAND A F B, TX
NPI1225118920
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171000000X Military Health Care Provider
(Licence: TX  1048445)
Enumeration Date2006-10-17
Last Update Date2007-07-08
Business Address
-- LISA SMITH MPT
2200 BERGQUIST DR STE 1 ATTN: CREDENTIALS
LACKLAND A F B, TX 78236-9908
Phone number: 210-292-5034
Mailing Address
-- LISA SMITH MPT
2180 REESE ST BLDG 1285 BOX 128
LACKLAND A F B, TX 78236-1042
Phone number: 505-693-3593
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