Individual provider · Type 1 NPI

Lily Eliza Smith

Family Nurse Practitioner · Dawes, WV

NPI number 1356011506 Active

Practice location

5722 Cabin Creek Rd
Dawes, WV 25054-7700

Mailing address

5651 Walden Dr
Lake View, NY 14085-9744

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X110721 (WV)

Family Nurse Practitioner: Definition to come...

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About NPI 1356011506

Lily Eliza Smith's National Provider Identifier is 1356011506, issued on Sep 19, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Dawes, WV. The record was last updated on Sep 19, 2021.