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Individual

DR. CHRISTOPHER LACEY SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D. , PH.D.

Contact information

Practice address
3401 CIVIC CENTER BLVD, 9NW63, PHILADELPHIA, PA 19104-4319
(215) 590-1220
(215) 590-2768
Mailing address
100 E PENN SQ FL 9, PHILADELPHIA, PA 19107-3377
(215) 590-1000
(215) 590-2768

Taxonomy

Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
MD458818
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1034955680001
PA
Enumeration date
06/06/2013
Last updated
10/19/2021
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