Provider Demographics
NPI:1902634629
Name:SMITH-ESTERLE, LORRIE (DNP, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:LORRIE
Middle Name:
Last Name:SMITH-ESTERLE
Suffix:
Gender:F
Credentials:DNP, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6420 DUTCHMANS PKWY STE 195
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40205-3363
Mailing Address - Country:US
Mailing Address - Phone:502-928-1260
Mailing Address - Fax:502-928-1259
Practice Address - Street 1:6420 DUTCHMANS PKWY STE 195
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40205-3363
Practice Address - Country:US
Practice Address - Phone:502-928-1260
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-24
Last Update Date:2024-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4024894363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health