Individual
MS. LAUREN VIRGINIA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1250 MERCANTILE DR, HIGHLAND, IL 62249-1239
(618) 654-4449
(618) 654-3974
Mailing address
1250 MERCANTILE DR, HIGHLAND, IL 62249-1239
(618) 654-4449
(618) 654-3974
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209021994
IL
Other
Enumeration date
09/14/2021
Last updated
11/06/2023
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