Individual
LAUREN KENDALL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
30 PROSPECT AVE, WFAN BLDG PC218, HACKENSACK, NJ 07601
(551) 996-5362
(551) 996-3232
Mailing address
21 LAURELWOOD DR, MOUNTAIN LAKES, NJ 07046-1732
(973) 476-2909
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00724200
NJ
363A00000X
Physician Assistant
4123
CT
Other
Enumeration date
06/11/2018
Last updated
12/06/2022
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