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NPI Code Detail

MEDICARE: LAINIE SMITH PA-C

MEDICARE:   LAINIE  SMITH  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantOA007560PA
2363AM0700XMedical Physician AssistantMA067164PA

General Provider Information

NPI Number : 1033084280
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAINIE SMITH PA-C
Provider Business Mailing Address
First Line : 2105 FIELDSTONE DR
Second Line :
City : BETHLEHEM
State : PA
Zip : 18015-5523
Country : US
Telephone Number : 610-984-5134
Fax Number :
Provider Business Practice Location Address
First Line : 208 LIFELINE RD STE 202
Second Line :
City : STROUDSBURG
State : PA
Zip : 18360-6473
Country : US
Telephone Number : 272-212-2141
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/08/2025
Last Update Date : 03/05/2026

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Directions to “ LAINIE SMITH PA-C” Practice Location

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