Most Relevant Information
Provider Data
| NPI Number: | 1003349937 |
| Provider Name: | LISA LEE SMITH FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 2017003713 |
Most Important Dates
| Enumeration Date: | 04/07/2017 |
| Last Updated: | 03/06/2020 |
Provider Practice Location
1414 W FAIR AVE STE 35
MARQUETTE
MI
498552675
Practice Location Phone/Fax
| Phone: | 9064491140 |
| Fax: | 9064491844 |
Provider Mailing Location
1414 W FAIR AVE STE 35
MARQUETTE
MI
498552675
Provider Mailing Phone/Fax
| Phone: | 9064491140 |
| Fax: | 9064491844 |