Healthcare Provider Details

I. General information

NPI: 1760127245
Provider Name (Legal Business Name): LAUREN ELIZABETH SMITH DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAUREN ELIZABETH LANDWEHR DO

II. Dates (important events)

Enumeration Date: 04/29/2022
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 S PINNACLE HILLS PKWY STE 600
ROGERS AR
72758-9016
US

IV. Provider business mailing address

PO BOX 776084
CHICAGO IL
60677-6084
US

V. Phone/Fax

Practice location:
  • Phone: 479-338-4000
  • Fax: 479-338-4050
Mailing address:
  • Phone: 479-338-4000
  • Fax: 479-338-4050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberE-20909
License Number StateAR
# 3
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number8096
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: