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

DR. ERNEST CLYDE SMOOT, MD

Active

DR. ERNEST CLYDE SMOOT, MD is a Plastic and Reconstructive Surgery healthcare provider located in LAKE CHARLES, Louisiana. NPI 1790756039 is currently active in the NPPES registry. Verify at CMS.

Plastic and Reconstructive Surgery · LAKE CHARLES, LA

Registration Details

NPI Number
1790756039
Provider Type
Individual
Gender
Male
NPI Issued
Jan 26, 2006 (20.564790434143 yrs)
Last Updated
Sep 27, 2011
License
12854R (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

Other Plastic and Reconstructive Surgery Providers in LAKE CHARLES, LA

Name Credential NPI
RALPH W COLPITTS MD 1134190465
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.