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Mrs. Lisa J Smith, RN,MSN,NP
Ambulatory Surgical Clinic/Center in Chesterfield, Missouri
NPI 1760694954

Lisa J Smith is an Ambulatory Surgical Clinic/Center based in Wildwood, MO and is specialized in Ambulatory Surgical. Lisa J Smith practices in Chesterfield, MO and has the professional credentials of RN,MSN,NP. The NPI Number for Lisa J Smith is 1760694954 and holds a License No. R3N29 (Missouri).

The current practice location address for Lisa J Smith is 17300 N. Outer 40, Chesterfield, MO and can be reached out via phone at 636-519-8889.

Location: 17300 N. Outer 40, Chesterfield, MO, 63005
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760694954
Provider Name
Lisa J Smith
Credential
RN,MSN,NP
Provider Entity Type
Individual
Gender
Female
Address
17300 N. Outer 40, Chesterfield, MO, 63005
Phone Number
636-519-8889
Fax Number
Provider Enumeration Date
05/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
104229 01 MO RN LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
17300 N. Outer 40
City
Chesterfield
State
Missouri
Zip
63005
Phone Number
636-519-8889
Fax Number
person
Provider Business Mailing Address Details
Address
17300 N. Outer 40
City
Chesterfield
State
Missouri
Zip
63005
Phone Number
636-519-8889
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
261QA1903X
License No.
R3N29 (Missouri)
Definition
Definition to come...
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