Individual
CHRISTY ELAINE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2829 4TH AVE, LAKE CHARLES, LA 70601-7887
(337) 477-7091
Mailing address
PO BOX 4254, LAKE CHARLES, LA 70606-4254
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP08486
LA
Other
Enumeration date
08/12/2015
Last updated
08/12/2015
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