Individual
KIEU LASHANYA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1221 MERCANTILE LN, LARGO, MD 20774-5374
(301) 618-5500
Mailing address
3211 W 80TH ST, INGLEWOOD, CA 90305-1355
(203) 535-2861
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D72690
MD
Other
Enumeration date
08/19/2008
Last updated
06/23/2021
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