| Lisa N Smith, NP | |
|
7109 Nw 11th Pl, St B, Gainesville, FL 32605-3170 | |
| (352) 333-9910 | |
| Not Available |
| Full Name | Lisa N Smith |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 7109 Nw 11th Pl, Gainesville, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760510366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 4704201849 (Michigan) | Primary |
| Entity Name | Lakeland Medical Practices |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538397120 PECOS PAC ID: 1658427042 Enrollment ID: O20090928000216 |
| Entity Name | Monogram Health Professional Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134739089 PECOS PAC ID: 4880004183 Enrollment ID: O20220209002773 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa N Smith, NP 31313 Northwestern Hwy, Ste 203, Farmington Hills, MI 48334-2577 Ph: (248) 880-0123 | Lisa N Smith, NP 7109 Nw 11th Pl, St B, Gainesville, FL 32605-3170 Ph: (352) 333-9910 |
Susan Lynette Fort, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2528 Nw 32nd St, Gainesville, FL 32605 Phone: 352-224-8161 Fax: 321-320-8780 | |
Xenia T Blount, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Po Box 100224, Gainesville, FL 32610 Phone: 352-273-7832 Fax: 352-273-7849 | |
Mrs. Brandace Michele Kenworthy, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0111 | |
Miss Sadaf Nazar Malik, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 904-265-0111 | |
Mrs. Sara Renee West, FNP-C, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-9000 Fax: 352-392-8413 | |
Sandrie Rose Dieujuste, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0045 | |
Holly Willis, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1601 Sw Archer Rd., Gainesville, FL 32608 Phone: 352-548-6000 |