Provider Demographics
NPI:1215725841
Name:SMITH, LAUREN TAYLOR
Entity type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:TAYLOR
Last Name:SMITH
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2116 COVEY CT
Mailing Address - Street 2:
Mailing Address - City:LITTLE ELM
Mailing Address - State:TX
Mailing Address - Zip Code:75068-3714
Mailing Address - Country:US
Mailing Address - Phone:205-607-7199
Mailing Address - Fax:
Practice Address - Street 1:2116 COVEY CT
Practice Address - Street 2:
Practice Address - City:LITTLE ELM
Practice Address - State:TX
Practice Address - Zip Code:75068-3714
Practice Address - Country:US
Practice Address - Phone:205-607-7199
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-25
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-185137163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse