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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

E. CLYDE SMOOT, M.D.-LLC

Active Organization

E. CLYDE SMOOT, M.D.-LLC is a Plastic and Reconstructive Surgery organization located in LAKE CHARLES, Louisiana. NPI 1528247277 is currently active in the NPPES registry. Verify at CMS.

Plastic and Reconstructive Surgery · LAKE CHARLES, LA

Registration Details

NPI Number
1528247277
Provider Type
Organization
NPI Issued
Oct 30, 2007 (18.804104803318 yrs)
Last Updated
Oct 1, 2008
License
MD12854R (LA)

Practice Information

Address
4150 NELSON RD
BLDG A STE 2
LAKE CHARLES, LA, 706054148
Browse LA providers · Browse ZIP 70605
Phone
3374785577
Fax
3374785588
Primary Specialty
Plastic and Reconstructive Surgery
2086S0122X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.