Letricia Ladiamond Smith, is a
Licensed Practical Nurse based in Apple Valley, California. Letricia Ladiamond Smith is licensed to practice in California (license number VN246202) and her current practice location is
26625 Roundup Way, Apple Valley, California. She can be reached at her office (for appointments etc.) via phone at
(323) 360-3779.
NPI number for Letricia Ladiamond Smith is 1063973022 and her current mailing address is 26625 Roundup Way, Apple Valley, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063973022.
Provider's Profile
| Full Name | Letricia Ladiamond Smith |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 26625 Roundup Way, Apple Valley, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1063973022
- Provider Enumeration Date: 03/30/2019
- Last Update Date: 03/30/2019
Medical Identifiers
Medical identifiers for Letricia Ladiamond Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063973022 | NPI | - | NPPES |
| VN246202 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | VN246202 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Letricia Ladiamond Smith is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Letricia Ladiamond Smith,
26625 Roundup Way,
Apple Valley, CA 92308-0542
Ph: (323) 360-3779 | Letricia Ladiamond Smith,
26625 Roundup Way,
Apple Valley, CA 92308-0542
Ph: (323) 360-3779 |
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