Individual
LAUREN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1031 BELLEVUE AVE STE 280A, SAINT LOUIS, MO 63117-1818
(314) 617-2110
(314) 617-2113
Mailing address
1008 S SPRING AVE FL 1, SAINT LOUIS, MO 63110-2520
(314) 617-3393
(314) 617-3198
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2016013882
MO
Other
Enumeration date
08/11/2010
Last updated
01/06/2026
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