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1609258789
LISA SMITH
WAYNE, WV
NPI
1609258789
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Former Name
LISA RAKES
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WV 73160)
Enumeration Date
2015-06-24
Last Update Date
2023-07-06
Business Address
Mrs. LISA SMITH APRN
42 MCGINNIS DR
WAYNE, WV 25570-9553
Phone number: 304-272-5136
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Mailing Address
Mrs. LISA SMITH APRN
PO BOX 1680
HUNTINGTON, WV 25717-1680
Phone number: 304-697-1396
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