IndividualActive
Lisa Smith, MD
NPI 1366498131 · Addiction Medicine (Family Medicine) Physician · Grand Rapids, MI
Provider details
- NPI number
- 1366498131
- Entity type
- Individual
- Primary specialty
- Addiction Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 4301080102 (MI)
Practice location
75 Sheldon Ave Se Ste 100
Grand Rapids, MI 49503-4224
Phone: (616) 391-6120
Mailing address
100 Michigan St Ne # Mc845
Grand Rapids, MI 49503-2560
Registry dates
- Enumerated
- 2006-05-25
- Last updated
- 2025-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.