Provider Demographics
NPI:1386863421
Name:SMITH, LAURA P (MD)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:P
Last Name:SMITH
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:595 MARTHA JEFFERSON DR STE 390
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22911-4669
Mailing Address - Country:US
Mailing Address - Phone:434-654-8524
Mailing Address - Fax:434-654-8521
Practice Address - Street 1:4100 OLYMPIA CIR STE 201
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22911-3620
Practice Address - Country:US
Practice Address - Phone:434-220-6620
Practice Address - Fax:434-220-6621
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2023-08-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101246834207VE0102X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology