Provider Demographics
NPI:1659729622
Name:SMITH, JANIE LAINE
Entity Type:Individual
Prefix:
First Name:JANIE
Middle Name:LAINE
Last Name:SMITH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5009 UNIVERSITY AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79413-4431
Mailing Address - Country:US
Mailing Address - Phone:806-795-0188
Mailing Address - Fax:806-795-0189
Practice Address - Street 1:5009 UNIVERSITY AVE
Practice Address - Street 2:SUITE A
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79413-4431
Practice Address - Country:US
Practice Address - Phone:806-795-0188
Practice Address - Fax:806-795-0189
Is Sole Proprietor?:No
Enumeration Date:2016-05-31
Last Update Date:2016-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80457237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist