Individual
LAUREN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4532 WEBER RD, SAINT LOUIS, MO 63123-5722
(314) 443-3158
Mailing address
4949 HIGH CREST CT, BLACK JACK, MO 63033-4547
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/25/2024
Last updated
07/19/2024
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