Individual
MS. LAURIE J. SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
380 MAPLE AVE W, SUITE 303 B, VIENNA, VA 22180-5620
(703) 938-2949
Mailing address
380 MAPLE AVE W, SUITE 303 B, VIENNA, VA 22180-5620
(703) 938-2949
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
08030000228
VA
Other
Enumeration date
09/21/2007
Last updated
09/21/2007
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