person
Lisa Smith, MPT
Military Health Care Provider in Lackland A F B, Texas
NPI 1225118920

Lisa Smith is a Military Health Care Provider based in Lackland A F B, TX. Lisa Smith practices in Lackland A F B, TX and has the professional credentials of MPT. The NPI Number for Lisa Smith is 1225118920 and holds a License No. 1048445 (Texas).

The current practice location address for Lisa Smith is 2200 Bergquist Dr Ste 1, Lackland A F B, TX and can be reached out via phone at 210-292-5034.

Location: 2200 Bergquist Dr Ste 1, Lackland A F B, TX, 78236-1042
person
Provider Profile Details
NPI Number
1225118920
Provider Name
Lisa Smith
Credential
MPT
Provider Entity Type
Individual
Gender
Female
Address
2200 Bergquist Dr Ste 1, Lackland A F B, TX, 78236-1042
Phone Number
210-292-5034
Fax Number
Provider Enumeration Date
10/17/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2200 Bergquist Dr Ste 1
City
State
Zip
78236-9908
Phone Number
210-292-5034
Fax Number
person
Provider Business Mailing Address Details
Address
2200 Bergquist Dr Ste 1
City
State
Zip
78236-9908
Phone Number
210-292-5034
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
1048445 (Texas)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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