Individual provider · Type 1 NPI

Lisa Smith

Licensed Practical Nurse · Marion, IL

NPI number 1386182798 Active

Practice location

2401 W Main St
Marion, IL 62959-1188

Fax (618) 242-8240

Mailing address

1505 E Main St
West Frankfort, IL 62896-1602

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X043074883 (IL)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1386182798

Lisa Smith's National Provider Identifier is 1386182798, issued on Feb 6, 2017. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Marion, IL. The record was last updated on Dec 8, 2022.