NPI 1013200757

Leesa M Smith, IDMT

Practitioner Independent Duty Medical Technicians Fort Lewis, WA

Practice location

Address: 10447b Longmire Rd, Fort Lewis, WA 98433
Phone: (253) 970-3244
Mailing address: 10447b Longmire Rd, Joint Base Lewis McChord, WA 98433-1357

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

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Registry record

NPI: 1013200757
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 May 2011
Record last updated: 26 May 2011

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.