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1962102087
LAUREN SMITH
SOUTHAVEN, MS
NPI
1962102087
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Former Name
LAUREN RILEY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MS RILE-9J9MEH)
Enumeration Date
2023-03-07
Last Update Date
2024-01-10
Business Address
LAUREN SMITH FNP
7684 AIRWAYS BLVD
SOUTHAVEN, MS 38671-5304
Phone number: 901-405-0275
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Mailing Address
LAUREN SMITH FNP
7684 AIRWAYS BLVD
SOUTHAVEN, MS 38671-5304
Phone number: 901-405-0275
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