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Individual

MRS. LAURA K SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
146 WILLIAMS DR, SPENCER, WV 25276-1826
(304) 927-8138
(304) 927-8198
Mailing address
146 WILLIAMS DR, SPENCER, WV 25276-1826
(304) 927-8138
(304) 927-8198

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1201
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3810006054
WV
Enumeration date
01/17/2007
Last updated
02/27/2014
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