Individual provider · Type 1 NPI

Lane Smith

Student in an Organized Health Care Education/Training Program · Fort Worth, TX

NPI number 1396447413 Active

Practice location

900 8th Ave
Fort Worth, TX 76104-3902

Mailing address

3500 Camp Bowie Blvd
Fort Worth, TX 76107-2644

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1396447413

Lane Smith's National Provider Identifier is 1396447413, issued on Mar 21, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Worth, TX. The record was last updated on Mar 21, 2023.