Individual
LORELEY DENISE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
2016021475
MO
207W00000X
Ophthalmology Physician
Primary
A169058
CA
Other
Enumeration date
06/23/2016
Last updated
07/10/2020
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