Most Relevant Information
Provider Data
| NPI Number: | 1003528183 |
| Provider Name: | LUCY SMITH |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/20/2022 |
| Last Updated: | 12/20/2022 |
Provider Practice Location
1401 CHESTNUT ST
KENOVA
WV
255301235
Practice Location Phone/Fax
| Phone: | 3044532800 |
| Fax: |
Provider Mailing Location
906 WASHINGTON AVE
NITRO
WV
251432154
Provider Mailing Phone/Fax
| Phone: | 3045335644 |
| Fax: |