Lonnie V. Smith PA

NPI 1063474344 - Physician Assistant - 363A00000X

NPI Details
NPI 1063474344
Gender Male
Enumeration Date 04/04/2006
Last Updated 03/25/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
4300 W MEMORIAL RD
ER DEPT.
OKLAHOMA CITY OK, 73120-8304, US
Phone (405) 752-3715
Fax (405) 936-5058
Business Location
2115 PARKVIEW DR
EL RENO OK, 73036-2109, US
Phone (405) 295-1166
Fax (405) 295-1334
Toxanomy
Taxonomy Code 363A00000X
License State Oklahoma
License Number 698
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According to our database, Lonnie V. Smith PA NPI is 1063474344, taxonomy code is 363A00000X and license number is 698, license state is located at Oklahoma. Lonnie V. Smith PA physically located at 4300 W Memorial Rd, Oklahoma City OK, 73120-8304. NPI Number Lonnie V. Smith PA has the Individual type.

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1063474344 NPI number is provided on an as is basis without warranty of any kind. 1063474344 is maintained by the National Plan & Provider Enumeration System. The contents of Lonnie V. Smith PA are for informational purposes only.