Amanda L Smithers, PA-C
Physician Assistant, Medical in Lakeport, CA. Individual provider (NPI-1).
NPI number1184052003
StatusActive
Last updated in NPPESAug 11, 2019
Details
- NPI
- 1184052003
- Entity type
- Individual (NPI-1)
- Name
- Amanda L Smithers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 31, 2013
- Last updated
- Aug 11, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | PA.0003843 | CO | Yes |
Practice location
5196 Hill Rd E Ste 300Lakeport, CA 95453-6374
Phone 707-263-6885
Mailing address
5196 Hill Rd E Ste 300Lakeport, CA 95453-6374
Phone 707-263-6885
Other practice locations
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