NPI 1013049618

Lana Joan Smith, PAC

Practitioner Medical Physician Assistant Gaithersburg, MD

Practice location

Address: 981 Russell Ave James Matthews, M.D., Gaithersburg, MD 20879-6219
Phone: (301) 216-2065
Fax: (301) 216-2065
Mailing address: 10111 Maple Leaf Dr, Montgomery Village, MD 20886-1117

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence C0001876 (MD)

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Registry record

NPI: 1013049618
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Mar 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.