Provider Demographics
NPI:1174619613
Name:SMITH, LAURIE JOAN (MD)
Entity type:Individual
Prefix:DR
First Name:LAURIE
Middle Name:JOAN
Last Name:SMITH
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3714 CAPULET TERRACE
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906
Mailing Address - Country:US
Mailing Address - Phone:301-598-2135
Mailing Address - Fax:301-598-7102
Practice Address - Street 1:6900 GEORGIA AVE
Practice Address - Street 2:ALLERGY CLINIC 1J96 WALTER REED ARMY MEDICAL CENTER
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20906
Practice Address - Country:US
Practice Address - Phone:202-782-7634
Practice Address - Fax:202-782-7093
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101033433207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology