Individual
JENNIFER STEWART SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
500 W MCNEESE ST, LAKE CHARLES, LA 70605-5528
(337) 474-6161
(337) 474-6474
Mailing address
5737 E DIETRICH LOOP, LAKE CHARLES, LA 70605-7198
(337) 309-0438
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1894-830AT
LA
Other
Enumeration date
07/16/2019
Last updated
03/09/2022
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