Individual
LANEY FOWLKES SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1025 MOREHEAD MEDICAL DR STE 300, CHARLOTTE, NC 28204-2966
(704) 446-2772
(704) 355-2467
Mailing address
1025 MOREHEAD MEDICAL DR STE 300, CHARLOTTE, NC 28204-2966
(704) 446-2772
(704) 355-2467
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NC
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/15/2025
Last updated
04/27/2026
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