Healthcare Provider Details

I. General information

NPI: 1033348172
Provider Name (Legal Business Name): LAUREN FINNELL SMITH D.P.M.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAUREN FINNELL SMITH

II. Dates (important events)

Enumeration Date: 07/10/2009
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 10TH AVE SUITE 120
COLUMBUS GA
31901-3600
US

IV. Provider business mailing address

8932 RIVER RD
COLUMBUS GA
31904-1156
US

V. Phone/Fax

Practice location:
  • Phone: 312-613-4018
  • Fax:
Mailing address:
  • Phone: 706-304-4009
  • Fax: 706-596-1281

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number135000679
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberPOD001200
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: