Individual
LA'QUANDA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1325 S WABASH AVE STE 301, CHICAGO, IL 60605-2536
(773) 822-3669
Mailing address
11735 S LAFLIN ST, CHICAGO, IL 60643-5033
(773) 822-3669
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
04/26/2022
Last updated
04/27/2022
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