Most Relevant Information
Provider Data
| NPI Number: | 1003403973 |
| Provider Name: | REGAN SMITH LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | LPN.176539.MEDS-IV |
Most Important Dates
| Enumeration Date: | 12/28/2020 |
| Last Updated: | 01/04/2021 |
Provider Practice Location
8120 GARNET DR
CENTERVILLE
OH
454582141
Practice Location Phone/Fax
| Phone: | 8885103928 |
| Fax: |
Provider Mailing Location
615 ELSINORE PL STE 200
CINCINNATI
OH
452021459
Provider Mailing Phone/Fax
| Phone: | 5138347063 |
| Fax: |