Individual
LAURA SOPHIA CONNELLY-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBCH, DM
Contact information
Practice address
825 EASTLAKE AVE E, SEATTLE, WA 98109-4405
(206) 288-1000
(206) 288-1025
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
(206) 520-5620
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
TR60253483
WA
207RH0003X
Hematology & Oncology Physician
TR60253483
WA
Other
Enumeration date
10/14/2011
Last updated
10/14/2011
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