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NPI Code Detail

MEDICARE: LAUREN ASHLEY SMITH

MEDICARE: LAUREN ASHLEY 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
1103K00000XBehavior Analyst
2101Y00000XCounselor

General Provider Information

NPI Number : 1861993222
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN ASHLEY SMITH
Provider Business Mailing Address
First Line : 2200 RAINIER AVE S STE 201
Second Line :
City : SEATTLE
State : WA
Zip : 98144-4642
Country : US
Telephone Number : 253-335-7581
Fax Number :
Provider Business Practice Location Address
First Line : 2200 RAINIER AVE S STE 201
Second Line :
City : SEATTLE
State : WA
Zip : 98144-4642
Country : US
Telephone Number : 206-535-8876
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2018
Last Update Date : 11/15/2023

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Directions to “ LAUREN ASHLEY SMITH ” Practice Location

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