Individual provider · Type 1 NPI
Lara Gubbins Smith, RN, CPNP
Pediatric Nurse Practitioner · St. Louis, MO
NPI number
1184746059
Active
Practice location
1 Childrens Pl
St. Louis, MO 63110-1002
Mailing address
4728 Auburn Trace Dr
St. Louis, MO 63128-2851
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Pediatric Nurse Practitioner | 363LP0222X | 137488 (MO) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 137488 (MO) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1184746059
Lara Gubbins Smith, RN, CPNP's National Provider Identifier is 1184746059, issued on Apr 4, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in St. Louis, MO. The record was last updated on Nov 8, 2021.