NPI 1043795453

Jonathan Lamont Smith

Practitioner Student in an Organized Health Care Education/Training Program East Lansing, MI

Practice location

Address: 591 N. Shaw Ln. East Shaw Hall E155, East Lansing, MI 48825
Phone: (248) 227-8921
Mailing address: 34015 Lyncroft St, Farmington Hills, MI 48331-3631

Registered specialties (2)

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X Licence S530435488908 (MI)

Other Student in an Organized Health Care Education/Training Program providers in Michigan →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

Registry record

NPI: 1043795453
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Oct 2018
Record last updated: 2 Oct 2018

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.