NPI 1225118920

Lisa Smith, MPT

Practitioner Military Health Care Provider Lackland a F B, TX

Practice location

Address: 2200 Bergquist Dr STE 1 Attn: Credentials, Lackland a F B, TX 78236-9908
Phone: (210) 292-5034
Mailing address: 2180 Reese St Bldg 1285 Box 128, Lackland a F B, TX 78236-1042

Registered specialties

Military Health Care Provider Primary

Other Service Providers Taxonomy 171000000X Licence 1048445 (TX)

Other Military Health Care Provider providers in Texas →

Registry record

NPI: 1225118920
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Oct 2006
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.