Individual
LAYLA RENEE LUNDQUIST-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
609 E. LAURELL STREET, ATMORE, AL 36502
(251) 368-6906
Mailing address
609 E LAUREL ST, ATMORE, AL 36502-7567
(251) 368-6960
(251) 368-1378
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.41738
AL
207Q00000X
Family Medicine Physician
ME115631
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012201600
—
FL
Enumeration date
05/17/2011
Last updated
03/23/2021
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