LARRY EDWIN SMITH

ROCKVILLE, IN
NPI1659979268
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71010467A)
Enumeration Date2020-10-15
Last Update Date2020-10-15
Business Address
LARRY EDWIN SMITH FNP
768 N US HIGHWAY 41
ROCKVILLE, IN 47872-7091
Phone number: 812-360-0047
Mailing Address
LARRY EDWIN SMITH FNP
3155 W 57TH ST
INDIANAPOLIS, IN 46228-1609
Phone number: 812-360-0047