Leatha Michelle Smith PA

NPI 1750713798 - Physician Assistant - 363A00000X

NPI Details
NPI 1750713798
Gender Female
Enumeration Date 08/01/2013
Last Updated 08/05/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
1717 OAK PARK BLVD FL 3
LAKE CHARLES LA, 70601-8990, US
Phone (337) 494-4900
Fax (337) 494-4936
Business Location
1717 OAK PARK BLVD FL 3
LAKE CHARLES LA, 70601-8990, US
Phone (337) 494-4900
Fax (337) 494-4936
Toxanomy
Taxonomy Code 363A00000X
License State Louisiana
License Number PA200643
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According to our database, Leatha Michelle Smith PA NPI is 1750713798, taxonomy code is 363A00000X and license number is PA200643, license state is located at Louisiana. Leatha Michelle Smith PA physically located at 1717 Oak Park Blvd Fl 3, Lake Charles LA, 70601-8990. NPI Number Leatha Michelle Smith PA has the Individual type.

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1750713798 NPI number is provided on an as is basis without warranty of any kind. 1750713798 is maintained by the National Plan & Provider Enumeration System. The contents of Leatha Michelle Smith PA are for informational purposes only.