Provider Demographics
NPI:1740079920
Name:SMITH, LORRI V (PMHNP)
Entity type:Individual
Prefix:MS
First Name:LORRI
Middle Name:V
Last Name:SMITH
Suffix:
Gender:
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:177 DAVID B HOWARD DR
Mailing Address - Street 2:
Mailing Address - City:ARTEMUS
Mailing Address - State:KY
Mailing Address - Zip Code:40903-6084
Mailing Address - Country:US
Mailing Address - Phone:606-401-8652
Mailing Address - Fax:
Practice Address - Street 1:177 DAVID B HOWARD DR
Practice Address - Street 2:
Practice Address - City:ARTEMUS
Practice Address - State:KY
Practice Address - Zip Code:40903-6084
Practice Address - Country:US
Practice Address - Phone:606-401-8652
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-05
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty