Smith, Lauren K.

Smith, Lauren K. is an individual health care provider with primary practice located at 2185 W Grant Line Rd , Tracy CA 95377-7309. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Smith, Lauren K. can be contacted via phone (209) 839-3200.

Contact Information

Primary practice address
2185 W Grant Line Rd Tracy CA 95377-7309
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G84616 California

Profile Details

NPI number 1356420145
LBN Legal business name Smith, Lauren K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2006
Last updated Dec 13th, 2021 - about 3 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 1356420145 NPPES
California MEDICAID 00G846160

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