Lauren Therese Lange Smith, MD | |
110 Kildaire Park Dr, Cary, NC 27518-8161 | |
(919) 235-6505 | |
Not Available |
Full Name | Lauren Therese Lange Smith |
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Gender | Female |
Speciality | Pediatrics |
Location | 110 Kildaire Park Dr, Cary, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558788034 | NPI | - | NPPES |
0433415 | Medicaid | OH | |
H871720 | Other | OH | CGS - MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 35.141362 (Ohio) | Secondary |
208000000X | Pediatrics | 2024-02951 (North Carolina) | Primary |
Entity Name | Pediatric Academic Association, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063419943 PECOS PAC ID: 2961306774 Enrollment ID: O20031124000198 |
Mailing Address | Practice Location Address |
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Lauren Therese Lange Smith, MD 110 Kildaire Park Dr, Cary, NC 27518-8161 Ph: () - | Lauren Therese Lange Smith, MD 110 Kildaire Park Dr, Cary, NC 27518-8161 Ph: (919) 235-6505 |
Dr. Hugh M Powell Jr., MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1001 Crescent Grn, Cary, NC 27518 Phone: 919-467-1057 Fax: 919-461-8179 | |
David Thomas Outlaw, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 224 High House Rd, Ste 100, Cary, NC 27513 Phone: 919-380-7531 Fax: 919-380-0686 | |
Dr. Renee H Johnson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1001 Crescent Green, Cary, NC 27511 Phone: 919-467-3211 Fax: 919-467-5315 | |
Dr. Anil Kumar Kasula, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 155 Parkway Office Ct, Ste 100, Cary, NC 27518 Phone: 919-852-3456 Fax: 919-852-0911 | |
Vijaya V Bapat, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 227 Beckingham Loop, Cary, NC 27519 Phone: 919-319-7294 | |
Dr. Jennifer Alys Durand-smith, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1001 Crescent Grn, Cary, NC 27518 Phone: 919-467-3211 Fax: 919-461-8179 | |
Thomas F Flaherty, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1515 Sw Cary Pkwy, Suite 220, Cary, NC 27511 Phone: 919-387-3160 Fax: 919-387-3165 |