Individual
LAUREN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
208 E PINE, WESTPHALIA, MI 48894-9815
(517) 898-5491
Mailing address
208 E PINE, WESTPHALIA, MI 48894-9815
(517) 898-5491
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
5KNQ04
MI
Other
Enumeration date
05/26/2015
Last updated
05/26/2015
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