Gabrielle Lynn Smith

Individual provider Active NPI Technician/Technologist · Lennon, MI

NPI 1902383029 · NPPES record last updated Apr 11, 2022

Key facts

NPI
1902383029
Entity type
Individual (NPI type 1)
Primary specialty
Technician/Technologist 156F00000X
Practice address
11410 E Lennon Rd
Lennon, MI 48449-9666
Phone
(810) 621-4721
NPI assigned
Jul 21, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Labaza Eyecare, P.C. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Technician/Technologist 156F00000X Yes
Personal Care Attendant 3747P1801X

Addresses

Primary practice location

11410 E Lennon Rd
Lennon, MI 48449-9666

Mailing address

1484 N M 52
Owosso, MI 48867-1235

Other names

  • Gabrielle Beehler Former name

Other providers in Lennon, MI

All providers in Lennon, MI · Technician/Technologist in Michigan

Sources for this page

Verify at the official NPI Registry.