Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 135000679 | IL |
N | 222Z00000X | Podiatrist | 135000679 | IL |
Y | 213E00000X | Podiatrist | POD001200 | GA |
Y | 222Z00000X | Podiatrist | POD001200 | GA |
NPI | 1033348172 |
---|---|
Provider Name | Dr. Lauren Finnell Smith |
First Address | Columbus, GA 31909-2185 |
Second Address | Columbus, GA 31901-3600 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2009 |
Last Update Date | 17/09/2012 |