| NPI | 1174998314 |
|---|---|
| Former Name | LAUREN SMOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3009944) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3009944) |
| Enumeration Date | 2015-12-13 |
| Last Update Date | 2022-08-25 |