Letricia Ladiamond Smith, in Apple Valley, CA - Licensed Practical Nurse

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.

Contact Information

	Letricia Ladiamond Smith,
	26625 Roundup Way, Apple Valley, CA 92308-0542
	(323) 360-3779
	Not Available

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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Letricia Ladiamond Smith, - Licensed Practical Nurse in Apple Valley, CA