Individual
DR. LAURA LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
210 WEST IVEY STREET, LILLINGTON, NC 27546-5621
(910) 893-5711
(910) 893-4805
Mailing address
PO BOX 430, LILLINGTON, NC 27546-5621
(910) 893-5711
(910) 893-4805
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1468
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5916665
—
NC
05
—
8909713
—
NC
Enumeration date
05/04/2006
Last updated
05/10/2011
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