Lisa Smith CNM

NPI 1023079423 - Advanced Practice Midwife - 367A00000X

NPI Details
NPI 1023079423
Gender Female
Enumeration Date 03/28/2006
Last Updated 11/08/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
153 CESAR CHAVEZ ST
WESTSIDE COMMUNITY HEALTH SERVICES, INC.
W. ST. PAUL MN, 55107-2226, US
Phone (651) 602-7552
Fax (651) 602-7580
Business Location
153 CESAR CHAVEZ ST
WESTSIDE COMMUNITY HEALTH SERVICES, INC.
W. ST. PAUL MN, 55107-2226, US
Phone (651) 602-7552
Fax (651) 602-7580
Toxanomy
Taxonomy Code 367A00000X
License State Minnesota
License Number 124016-0
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According to our database, Lisa Smith CNM NPI is 1023079423, taxonomy code is 367A00000X and license number is 124016-0, license state is located at Minnesota. Lisa Smith CNM physically located at 153 Cesar Chavez St, W. St. Paul MN, 55107-2226. NPI Number Lisa Smith CNM has the Individual type.

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1023079423 NPI number is provided on an as is basis without warranty of any kind. 1023079423 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Smith CNM are for informational purposes only.