Healthcare Provider Details

I. General information

NPI: 1942293295
Provider Name (Legal Business Name): LUCY B DOWNEY-SMITH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LUCY B DOWNEY MD

II. Dates (important events)

Enumeration Date: 08/23/2005
Last Update Date: 10/29/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1030 HOSPICE DR
DANBURY NC
27016-7379
US

IV. Provider business mailing address

PO BOX 10
DANBURY NC
27016-0010
US

V. Phone/Fax

Practice location:
  • Phone: 336-593-5354
  • Fax: 336-593-5331
Mailing address:
  • Phone: 336-593-5354
  • Fax: 336-593-5331

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number29258
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: