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Individual

DR. LEMUEL SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
434 S SAN VICENTE BLVD, SUITE 100, LOS ANGELES, CA 90048-4108
(310) 360-6780
Mailing address
434 S SAN VICENTE BLVD, SUITE 100, LOS ANGELES, CA 90048-4108
(310) 360-6780

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
C39046
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C39046
STATE MEDICAL LICENSE
CA
Enumeration date
06/05/2008
Last updated
06/05/2008
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