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NPI Code Detail

MEDICARE: MRS. LORI A. SMITH LPC

MEDICARE: MRS. LORI A. SMITH LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorP1204050AR

General Provider Information

NPI Number : 1356645980
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LORI A. SMITH LPC
Provider Business Mailing Address
First Line : PO BOX 298
Second Line :
City : BRYANT
State : AR
Zip : 72089-0298
Country : US
Telephone Number : 501-847-2229
Fax Number : 501-847-8608
Provider Business Practice Location Address
First Line : 15524 CHENAL PKWY
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72211-2018
Country : US
Telephone Number : 501-847-2229
Fax Number : 501-847-8608
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2010
Last Update Date : 05/18/2013

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