Provider Demographics
NPI:1154044733
Name:SMITH, LA'ZORIA S (DOULA)
Entity type:Individual
Prefix:
First Name:LA'ZORIA
Middle Name:S
Last Name:SMITH
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2006 WINNERS CIR
Mailing Address - Street 2:
Mailing Address - City:NORTH LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33068-5412
Mailing Address - Country:US
Mailing Address - Phone:954-203-3729
Mailing Address - Fax:
Practice Address - Street 1:2006 WINNERS CIR
Practice Address - Street 2:
Practice Address - City:NORTH LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33068-5412
Practice Address - Country:US
Practice Address - Phone:954-203-3729
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-20
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula