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NPI Code Detail

MEDICARE: LAURA SMITH

MEDICARE:   LAURA  SMITH
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
1163W00000XRegistered NurseL1-0030696DE

General Provider Information

NPI Number : 1558759662
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA SMITH
Provider Business Mailing Address
First Line : 14012 BEACH HWY
Second Line :
City : GREENWOOD
State : DE
Zip : 19950-5149
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 14012 BEACH HWY
Second Line :
City : GREENWOOD
State : DE
Zip : 19950-5149
Country : US
Telephone Number : 302-645-3300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/26/2014
Last Update Date : 12/26/2014

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Directions to “ LAURA SMITH ” Practice Location

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