Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. LISA D SMITH
Active Sole ProprietorIntellectual Disabilities Residential Treatment Facility · FREDERICK, MD
Registration Details
- NPI Number
- 1558514505
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 3, 2008 (17.464878774622 yrs)
- Last Updated
- Nov 3, 2008
- License
-
06000 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
93 S MCCAIN DRFREDERICK, MD, 217036007Browse MD providers · Browse ZIP 21703
- Phone
- 4105978788
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.