Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VE0102X | Reproductive Endocrinologist | 0101246834 | VA |
NPI | 1386863421 |
---|---|
Provider Name | Laura P Smith |
First Address | Charlottesville, VA 22911-4669 |
Second Address | Charlottesville, VA 22911-4669 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2007 |
Last Update Date | 21/05/2021 |