Lisa Fudge Smith, LAC

NPI #1457583593 in Evergreen, Colorado

Provider Information

NPI Number: 1457583593
Entity Type: Individual
Name: Lisa Fudge Smith, LAC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: LAC
Enumeration Date: Aug 21, 2009
Last Updated: Aug 21, 2009

Practice Location

Address: 2942 EVERGREEN PKWY
Address 2: SUITE 305
City: Evergreen
State: Colorado
ZIP Code: 80439-7909
Phone: (720) 934-3008

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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