Organization
LAURENCE H. SMITH, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL S WYCKOFF (ADMINISTRATOR)
(707) 525-0100
Entity
Organization
Contact information
Practice address
1701 4TH ST, SUITE 200, SANTA ROSA, CA 95404-3601
(707) 525-0100
(707) 525-0538
Mailing address
1701 4TH ST, SUITE 200, SANTA ROSA, CA 95404-3601
(707) 525-0100
(707) 525-0538
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
C36737
CA
Other
Enumeration date
11/13/2008
Last updated
06/08/2009
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