Most Relevant Information
Provider Data
| NPI Number: | 1003200940 |
| Provider Name: | LOIS SMITH |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 306826-1 |
Most Important Dates
| Enumeration Date: | 03/27/2015 |
| Last Updated: | 03/27/2015 |
Provider Practice Location
33 PENSTOCK LN
LAKE KATRINE
NY
124495236
Practice Location Phone/Fax
| Phone: | 8453998889 |
| Fax: |
Provider Mailing Location
PO BOX 444
LAKE KATRINE
NY
124490444
Provider Mailing Phone/Fax
| Phone: | 8453998889 |
| Fax: |