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NPI Code Detail

MEDICARE: LASHANDRA JENE SMITH BSW

MEDICARE:   LASHANDRA JENE SMITH  BSW
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
1171M00000XCase Manager/Care Coordinator
2104100000XSocial Worker

General Provider Information

NPI Number : 1720300841
Entity Type Code : Individual
Provider Name (Legal Business Name) : LASHANDRA JENE SMITH BSW
Provider Business Mailing Address
First Line : 617 E MADISON AVE
Second Line :
City : BASTROP
State : LA
Zip : 71220-3833
Country : US
Telephone Number : 318-239-3890
Fax Number : 318-281-4196
Provider Business Practice Location Address
First Line : 617 E MADISON AVE
Second Line :
City : BASTROP
State : LA
Zip : 71220-3833
Country : US
Telephone Number : 318-239-3890
Fax Number : 318-605-4800
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2010
Last Update Date : 11/12/2023

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Directions to “ LASHANDRA JENE SMITH BSW” Practice Location

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