Provider Demographics
NPI:1841573615
Name:LAUREN A. SMATT, DC, PLLC
Entity Type:Organization
Organization Name:LAUREN A. SMATT, DC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:LILLIS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:212-684-5811
Mailing Address - Street 1:295 MADISON AVE
Mailing Address - Street 2:SUITE 1709
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-6304
Mailing Address - Country:US
Mailing Address - Phone:212-684-5811
Mailing Address - Fax:
Practice Address - Street 1:295 MADISON AVE
Practice Address - Street 2:SUITE 1709
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-6304
Practice Address - Country:US
Practice Address - Phone:212-684-5811
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-27
Last Update Date:2011-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012031111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty