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1992842371
LISA MARIE SMITH
PHILADELPHIA, PA
NPI
1992842371
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LW0102X Nurse Practitioner, Women's Health
(Licence: PA SP009261)
Enumeration Date
2007-02-01
Last Update Date
2007-07-08
Business Address
Ms. LISA MARIE SMITH CRNP
1144 LOCUST ST
PHILADELPHIA, PA 19107-6734
Phone number: 215-351-5582
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Mailing Address
Ms. LISA MARIE SMITH CRNP
1114 E PHIL ELLENA ST
PHILADELPHIA, PA 19150-3119
Phone number: 215-924-2022
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