Provider Demographics
NPI:1982348892
Name:SMITH, WILLIAM ALEXANDER LAWSON
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:ALEXANDER LAWSON
Last Name:SMITH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:158 FRONT ROYAL PIKE STE 108
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22602-4324
Mailing Address - Country:US
Mailing Address - Phone:540-629-9061
Mailing Address - Fax:
Practice Address - Street 1:158 FRONT ROYAL PIKE STE 108
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22602-4324
Practice Address - Country:US
Practice Address - Phone:540-635-9430
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-26
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0116037126207Q00000X
VA0101281412207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine