MEDICARE: DR. LAURIE STEELSMITH ND, LAC

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
1	175F00000X	Naturopath	99	HI

General Provider Information

NPI Number	:	1437364924
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAURIE STEELSMITH ND, LAC

Provider Business Mailing Address
First Line	:	438 HOBRON LN STE V6
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96815-1238
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	438 HOBRON LN STE V6
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96815-1238
Country	:	US
Telephone Number	:	808-943-0330
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/10/2007
Last Update Date	:	07/08/2007

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