Lisa Smith, MPT Valid NPI
Individual provider · Military Health Care Provider · Lackland A F B, TX
- NPI
- 1225118920
- Type
- Individual (Type 1)
- Primary specialty
- Military Health Care Provider
- Specialty group
- Other Service Providers
- Taxonomy code
- 171000000X
- License number
- 1048445 (TX)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2006-10-17
- Last updated
- 2007-07-08
Practice location
2200 Bergquist Dr Ste 1, Attn: Credentials
Lackland A F B, TX 78236-9908
(210) 292-5034