Individual
MS. LAURA J. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, CDE
Contact information
Practice address
169 RIVERSIDE DR, LOURDES DIABETES CENTER, BINGHAMTON, NY 13905-4246
(607) 772-6269
(607) 771-6280
Mailing address
169 RIVERSIDE DR, LOURDES DIABETES CENTER, BINGHAMTON, NY 13905-4246
(607) 772-6269
(607) 771-6280
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
361393-1
NY
Other
Enumeration date
07/01/2010
Last updated
07/01/2010
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