Individual provider · Type 1 NPI

Lauren Virginia Smith, PNP

Pediatric Nurse Practitioner · Highland, IL

NPI number 1265102990 Active

Practice location

1250 Mercantile Dr
Highland, IL 62249-1239

Fax (618) 654-3974

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X209021994 (IL)

Pediatric Nurse Practitioner: Definition to come...

3 other providers at this address

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About NPI 1265102990

Lauren Virginia Smith, PNP's National Provider Identifier is 1265102990, issued on Sep 14, 2021. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Highland, IL. The record was last updated on Nov 6, 2023.