Individual provider · Type 1 NPI
Samuel Lee Smith, R.D.
Nutrition Education Nutritionist · Waterbury, CT
NPI number
1447467378
Active
Practice location
80 Phoenix Ave
Waterbury, CT 06702-1418
Fax (203) 596-9038
Mailing address
122 Maple Ave
Shelton, CT 06484-2131
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nutrition Education Nutritionist Primary | 133NN1002X | 000491 (CT) |
Nutrition Education Nutritionist: Definition to come...
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About NPI 1447467378
Samuel Lee Smith, R.D.'s National Provider Identifier is 1447467378, issued on May 17, 2007. The primary taxonomy on file is Nutrition Education Nutritionist (133NN1002X), and the practice location is in Waterbury, CT. The record was last updated on Jul 8, 2007.