Provider Demographics
NPI:1356500961
Name:SMITH, JANET WILLA (L AC)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:WILLA
Last Name:SMITH
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 HAVEN LN W
Mailing Address - Street 2:
Mailing Address - City:WARFORDSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17267-8581
Mailing Address - Country:US
Mailing Address - Phone:717-434-3052
Mailing Address - Fax:
Practice Address - Street 1:366 MILL ST
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21740
Practice Address - Country:US
Practice Address - Phone:240-420-8625
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-09
Last Update Date:2018-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCAC500047171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist