Provider Demographics
NPI:1568081032
Name:SMITH, NATALIE LAING
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:LAING
Last Name:SMITH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6393 S YATES CT
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-6738
Mailing Address - Country:US
Mailing Address - Phone:720-935-1744
Mailing Address - Fax:
Practice Address - Street 1:CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS
Practice Address - Street 2:601 CHILDREN'S LANE
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23507
Practice Address - Country:US
Practice Address - Phone:720-935-1744
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-14
Last Update Date:2020-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program