Individual
DR. LAUREN S SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
550 E WASHINGTON ST, STE 205, IONIA, MI 48846-2202
(616) 527-8293
(616) 527-5718
Mailing address
550 E WASHINGTON ST, STE 205, IONIA, MI 48846-2202
(616) 527-8293
(616) 527-5718
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
LS059620
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01349
PRIORITY HEALTH PAY TO #
MI
01
—
1016883
MCLAREN
MI
01
—
200000000811
PHPMM
MI
01
—
4425028
MOLINA
MI
Enumeration date
07/20/2006
Last updated
01/24/2008
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