Individual provider · Type 1 NPI
Star Lorraine Smith
Meals Provider · Phoenix, AZ
NPI number
1114857638
Active
Practice location
3417 W Abraham Ln
Phoenix, AZ 85027-2216
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Meals Provider Primary | 174200000X | None listed |
Meals Provider: A public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
About NPI 1114857638
Star Lorraine Smith's National Provider Identifier is 1114857638, issued on May 19, 2026. The primary taxonomy on file is Meals Provider (174200000X), and the practice location is in Phoenix, AZ. The record was last updated on May 19, 2026.