Individual
LAUREN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 ELM ST, SAN DIEGO, CA 92101-2692
(619) 677-3800
Mailing address
111 ELM ST, SAN DIEGO, CA 92101-2692
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
PA66869
CA
Other
Enumeration date
10/31/2025
Last updated
10/31/2025
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