Lisa R Smith, CNM | |
1541 Kings Hwy, Shreveport, LA 71103-4228 | |
(318) 626-0000 | |
(318) 629-4833 |
Full Name | Lisa R Smith |
---|---|
Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 1541 Kings Hwy, Shreveport, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306309125 | NPI | - | NPPES |
2503707 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LW0102X | Nurse Practitioner - Women's Health | 202048 (Louisiana) | Secondary |
367A00000X | Advanced Practice Midwife | 202048 (Louisiana) | Primary |
Entity Name | Ochsner Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538151428 PECOS PAC ID: 8224933619 Enrollment ID: O20031126000513 |
Entity Name | Morehouse Parish Hospital Service District 1 |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891013496 PECOS PAC ID: 6507990165 Enrollment ID: O20100818000213 |
Entity Name | Lsu Health Sciences Center Shreveport Faculty Group Practice |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013374222 PECOS PAC ID: 4082902721 Enrollment ID: O20161012000307 |
Mailing Address | Practice Location Address |
---|---|
Lisa R Smith, CNM 1512 W Kirby Pl, Shreveport, LA 71103-3822 Ph: () - | Lisa R Smith, CNM 1541 Kings Hwy, Shreveport, LA 71103-4228 Ph: (318) 626-0000 |
Dr. T. Lynne Haygood-kane, DO Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 |