Individual
LAURA ZOE ENTIN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4740 PEARL PKWY STE 200, BOULDER, CO 80301-3080
(215) 829-2010
Mailing address
4740 PEARL PKWY STE 200, BOULDER, CO 80301-3080
(303) 449-2730
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3490
CO
363A00000X
Physician Assistant
MA057514
PA
Other
Enumeration date
09/19/2012
Last updated
03/07/2025
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