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Individual

LAURIE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3622 S TYLER ST, DALLAS, TX 75224
(214) 875-1650
Mailing address
2930 POINSETTIA DR, DALLAS, TX 75211-8833
(214) 875-1650

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
317684
TX

Other

Enumeration date
06/10/2014
Last updated
08/13/2018
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