| Lp Smith Md Pllc | |
|
1417 W Pettigrew St Durham NC 27705-4898 | |
| (615) 636-9050 | |
| Not Available |
| Full Name | Lp Smith Md Pllc |
|---|---|
| Speciality | General Practice |
| Location | 1417 W Pettigrew St, Durham, North Carolina |
| Authorized Official Name and Position | Lenwood Perkins Smith (PHYSICIAN/OWNER) |
| Authorized Official Contact | 6156369050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lp Smith Md Pllc 210 Green Rd Franklin TN 37069-7150 Ph: (615) 636-9050 | Lp Smith Md Pllc 1417 W Pettigrew St Durham NC 27705-4898 Ph: (615) 636-9050 |
| NPI Number | 1801507512 |
|---|---|
| Provider Enumeration Date | 12/13/2022 |
| Last Update Date | 12/13/2022 |
| Medicare PECOS PAC ID | 6901253053 |
|---|---|
| Medicare Enrollment ID | O20231110000175 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801507512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Lenwood P Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750348777 PECOS PAC ID: 4789605189 Enrollment ID: I20140106000925 |
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