MS. Pennie Lowanda Smith, PA

NPI #1194732271 in Harrisburg, Illinois

Provider Information

NPI Number: 1194732271
Entity Type: Individual
Name: MS. Pennie Lowanda Smith, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Aug 2, 2006
Last Updated: Oct 23, 2020

Practice Location

Address: 205 N MAIN ST
City: Harrisburg
State: Illinois
ZIP Code: 62946-1256
Phone: (618) 253-8450

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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