Active NPIIndividual providerSole proprietor

Lavon L Smith, BSN, RN

Clinical Medical Laboratory in Maple Shade, New Jersey

NPI Number1508372897
Practice location
115 S Cedar Ave, Maple Shade, NJ 08052-1711
Fax
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Last updated
January 10, 2022

Lavon Lashanda Smith is a Clinical Medical Laboratory based in Maple Shade, NJ. Lavon Lashanda Smith practices in Maple Shade, NJ and has the professional credentials of BSN, RN. The NPI Number for Lavon Lashanda Smith is 1508372897 and holds a License No. RN681687 (PA). The current practice location address for Lavon Lashanda Smith is 115 S Cedar Ave, Maple Shade, NJ 08052-1711 and can be reached out via phone at 856-571-3312.

Provider Profile Details

NPI Number
1508372897
Provider Name
Lavon Lashanda Smith
Credential
BSN, RN
Provider Entity Type
Individual
Gender
Female
Address
115 S Cedar Ave, Maple Shade, NJ 08052-1711
Phone Number
856-571-3312
Primary Taxonomy
Clinical Medical Laboratory · 291U00000X
Sole Proprietor
Yes
Other Names
Lavon Lashanda Walker (Former Name)
Provider Enumeration Date
December 21, 2017
Last Update Date
January 10, 2022
Certification Date
January 10, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
115 S Cedar Ave
Maple Shade, NJ 08052-1711
Zip
08052-1711
Phone Number
856-571-3312
Maple Shade, NJ 08052Get directions →

Provider Business Mailing Address Details

Address
115 S Cedar Ave # Level1
Maple Shade, NJ 08052-1711
City
Maple Shade
State
NJ
Zip
08052-1711
Phone Number
856-571-3312

License Information

License Number (1)
RN681687
License State (1)
PA
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
26NR18139900
License State (2)
NJ
Taxonomy (2)
Registered Nurse · 163W00000X
Taxonomy (3)
Clinical Medical Laboratory · 291U00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lavon L Smith, BSN, RN?

The NPI number of Lavon L Smith, BSN, RN is 1508372897. It was assigned on December 21, 2017 and is currently active in the NPPES registry.

What is the specialty of Lavon L Smith, BSN, RN?

Lavon L Smith, BSN, RN is registered under the primary taxonomy Clinical Medical Laboratory (code 291U00000X), licensed in PA under license number RN681687.

Where does Lavon L Smith, BSN, RN practice?

The practice location is 115 S Cedar Ave, Maple Shade, NJ 08052-1711. The office can be reached at 856-571-3312 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1508372897 directly on the NPPES registry website.

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