NPI Profile for LARA G SMITH in SAINT LOUIS, MO.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatrics |
363LP0200X | 50 | Nurse Practitioner | |
Pediatrics, Critical Care |
363LP0222X | 50 | Nurse Practitioner |
| NPI Number | 1184746059 |
|
| Status | Active | |
| Credentials | RN, CPNP | |
| Entity | Individual | |
| Enumeration date | 04/04/2007 | |
| Last updated | 11/08/2021 - About 5 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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LARA G SMITH
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