Smith, Laura R

Smith, Laura R is an individual health care provider with primary practice located at 140 W Main St , Wilmington OH 45177-2239. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Smith, Laura R can be contacted via phone (937) 481-2930.

Contact Information

Primary practice address
140 W Main St Wilmington OH 45177-2239
Phone: (937) 481-2930
Fax: (937) 382-4717
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X COA11596-NP Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP11596 Ohio

Profile Details

NPI number 1376853630
LBN Legal business name Smith, Laura R
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2010
Last updated Sep 10th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376853630 NPPES
Ohio MEDICAID 0096862

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