Individual ProviderLauren Elizabeth SmithPhysical Medicine & RehabilitationAllopathic & Osteopathic PhysiciansPractice Address610 Lafayette Ave NE, Grand Rapids, MI 49503-1660(269) 760-5085PECOS EnrollmentBased on the most recent information from CMS, provider Lauren Elizabeth 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 yesterday at 10:10 AM.Profile DetailsProvider ID1467825489Provider TypeIndividualFull NameSmith, Lauren ElizabethTitleMissCredentialAT, ATCGenderFemaleSole ProprietorNoEnumeration Date11/12/2015Last Updated10/3/2018Contact InformationPractice LocationPractice Address610 Lafayette Ave NE, Grand Rapids, MI 49503-1660Phone(269) 760-5085FaxUnlisted FaxMailing LocationMailing Address610 Lafayette Ave NE, Grand Rapids, MI 49503-1660Phone(269) 760-5085FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208100000XPrimaryDescriptionPhysical Medicine & RehabilitationAllopathic & Osteopathic PhysiciansLicense5501017854MichiganCode2255A2300XDescriptionSpecialist/TechnologistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense2601001124Michigan