Individual
LAUREN SMYTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1234 EVANS RD APT 721, SAN ANTONIO, TX 78258-6992
(210) 710-6659
Mailing address
1234 EVANS RD APT 721, SAN ANTONIO, TX 78258-6992
(210) 710-6659
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
877075
TX
Other
Enumeration date
11/28/2018
Last updated
11/28/2018
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