| Lisa Marie Smith, PA | |
|
520 Main St, Dowagiac, MI 49047-1762 | |
| (269) 783-3052 | |
| Not Available |
| Full Name | Lisa Marie Smith |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 520 Main St, Dowagiac, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164512935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 3512 (Arizona) | Secondary |
| 363A00000X | Physician Assistant | 5601006698 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Marie Smith, PA 5943 Stadium Dr, Kalamazoo, MI 49009-3016 Ph: () - | Lisa Marie Smith, PA 520 Main St, Dowagiac, MI 49047-1762 Ph: (269) 783-3052 |
Ms. Kathleen Basha, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 57392 M 51 S, Dowagiac, MI 49047 Phone: 269-462-9587 Fax: 269-462-9589 | |
Christopher Alan Staley Jr., Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 520 Main St, Dowagiac, MI 49047 Phone: 269-783-3052 | |
Mr. Timothy James Sayers, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 515 Main St, Dowagiac, MI 49047 Phone: 269-782-8013 Fax: 269-782-8013 | |
Mrs. Shanta Lynn Clark, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 58620 Sink Rd, Pokagon Health Services, Dowagiac, MI 49047 Phone: 269-782-4141 |