Individual
DR. LAUREN ALEXANDRA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002643
VA
152W00000X
Optometrist
1985DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0618002643
STATE LICENSE
VA
Enumeration date
08/10/2015
Last updated
06/18/2024
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