Lavon Lashanda Smith, BSN, RN in Maple Shade, NJ - Clinical Medical Laboratory

Lavon Lashanda Smith, BSN, RN is a Clinical Medical Laboratory based in Maple Shade, New Jersey. Lavon Lashanda Smith is licensed to practice in * (Not Available) (license number ) and her current practice location is 115 S Cedar Ave, Maple Shade, New Jersey. She can be reached at her office (for appointments etc.) via phone at (856) 571-3312.

NPI number for Lavon Lashanda Smith is 1508372897 and her current mailing address is 115 S Cedar Ave # Level1, Maple Shade, New Jersey. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508372897.

Contact Information

	Lavon Lashanda Smith, BSN, RN
	115 S Cedar Ave, Maple Shade, NJ 08052-1711
	(856) 571-3312
	Not Available

Provider's Profile

Full Name	Lavon Lashanda Smith
Gender	Female
Speciality	Clinical Medical Laboratory
Location	115 S Cedar Ave, Maple Shade, New Jersey
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1508372897
Provider Enumeration Date: 12/21/2017
Last Update Date: 01/10/2022

Medical Identifiers

Medical identifiers for Lavon Lashanda Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508372897	NPI	-	NPPES
1508372897	Medicaid	NJ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN681687 (Pennsylvania)	Secondary
163W00000X	Registered Nurse	26NR18139900 (New Jersey)	Secondary
291U00000X	Clinical Medical Laboratory	(* (Not Available))	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. Lavon Lashanda 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
Lavon Lashanda Smith, BSN, RN 115 S Cedar Ave # Level1, Maple Shade, NJ 08052-1711 Ph: (856) 571-3312	Lavon Lashanda Smith, BSN, RN 115 S Cedar Ave, Maple Shade, NJ 08052-1711 Ph: (856) 571-3312

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Lavon Lashanda Smith, BSN, RN - Clinical Medical Laboratory in Maple Shade, NJ