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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHAUN SMITH

Active

SHAUN SMITH is a 376G00000X healthcare provider located in LEWISBURG, Pennsylvania. NPI 1639207426 is currently active in the NPPES registry. Verify at CMS.

376G00000X · LEWISBURG, PA

Registration Details

NPI Number
1639207426
Provider Type
Individual
Gender
Male
NPI Issued
Mar 1, 2007 (19.449467867413 yrs)
Last Updated
Sep 11, 2025
Licenses
OC002690L (PA)
NH005241L (PA)

Practice Information

Address
90 MAPLEWOOD DR
LEWISBURG, PA, 178376307
Browse PA providers · Browse ZIP 17837
Phone
5705232941
Primary Specialty
376G00000X
376G00000X
Additional Specialty
376G00000X

Other 376G00000X Providers in LEWISBURG, PA

Name Credential NPI
LOUISE ANN SHIVELY 1851429799
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.