Individual
LAURA ELLEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2 INDUSTRIAL BLVD STE 100, PAOLI, PA 19301-1645
(800) 826-6737
Mailing address
2601 PENNSYLVANIA AVE APT 941, PHILADELPHIA, PA 19130-2340
(610) 906-9017
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS022883
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/10/2020
Last updated
06/16/2023
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