Individual
LAURA DIANE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
300 1ST CAPITOL DR, SAINT CHARLES, MO 63301-2844
(636) 947-5662
(636) 947-5250
Mailing address
300 1ST CAPITOL DR, SAINT CHARLES, MO 63301-2844
(636) 947-5662
(636) 947-5250
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
2000158417
MO
Other
Enumeration date
05/30/2006
Last updated
04/10/2013
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