Individual ProviderLaura Diane SmithStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address2500 Metrohealth Dr, Cleveland, OH 44109-1900(216) 778-4486(330) 416-5605PECOS EnrollmentBased on the most recent information from CMS, provider Laura Diane Smith does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1205521556Provider TypeIndividualFull NameSmith, Laura DianeTitleDr.GenderFemaleSole ProprietorYesEnumeration Date4/11/2023Last Updated4/11/2023Contact InformationPractice LocationPractice Address2500 Metrohealth Dr, Cleveland, OH 44109-1900Phone(216) 778-4486FaxUnlisted FaxMailing LocationMailing Address20355 Vermont St, Litchfield, OH 44253-9402Phone(330) 416-5605FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer