Healthcare Provider Details

I. General information

NPI: 1861919649
Provider Name (Legal Business Name): D'ANGELA A SMITH LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/23/2017
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

213 EAST LODS STREET
AKRON OH
44304
US

IV. Provider business mailing address

213 E LODS ST
AKRON OH
44304-1109
US

V. Phone/Fax

Practice location:
  • Phone: 234-244-7229
  • Fax:
Mailing address:
  • Phone: 234-244-7229
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number193826
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: