Individual
LAFAYETTE LYLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4515 PREMIER DR, SUITE 204, HIGH POINT, NC 27265-8357
(336) 802-2075
(336) 802-2076
Mailing address
1701 WESTCHESTER DRIVE, SUITE 850, HIGH POINT, NC 27262-7254
(336) 802-2400
(336) 802-2534
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22053
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110115006
RR MEDICARE
NC
01
—
1212660010
DME
NC
05
—
8977970
—
NC
Enumeration date
07/10/2006
Last updated
11/30/2012
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