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NPI Code Detail

MEDICARE: LAURA H SMITH RD

MEDICARE: LAURA H SMITH RD
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
1133V00000XRegistered Dietitian

General Provider Information

NPI Number : 1093330557
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA H SMITH RD
Provider Business Mailing Address
First Line : 6600 BRUCEVILLE RD
Second Line :
City : SACRAMENTO
State : CA
Zip : 95823-4671
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6600 BRUCEVILLE RD
Second Line :
City : SACRAMENTO
State : CA
Zip : 95823-4671
Country : US
Telephone Number : 916-916-6882
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2020
Last Update Date : 03/11/2026

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Directions to “ LAURA H SMITH RD” Practice Location

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