Individual
DR. SHONDRA L. SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3635 NELSON ROAD, LAKE CHARLES, LA 70605-0000
(337) 477-0011
(337) 477-0010
Mailing address
3635 NELSON ROAD, LAKE CHARLES, LA 70605-0000
(337) 477-0011
(337) 477-0010
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
021924
LA
Other
Enumeration date
10/07/2005
Last updated
10/18/2007
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