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Individual
LAWRENCE SMITH
Active
Individual
LAWRENCE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD12226
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010474554
MEDNET
ME
01
—
017716
ANTHEM BC BS
ME
01
—
1044064
AETNA
ME
05
—
319680099
—
ME
01
—
D78793
HARVARD PLIGRIM HEALTHCAR
ME
01
—
M61771
CIGNA HEALTHCARE
ME
Enumeration date
08/05/2006
Last updated
08/15/2012
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