Individual
LANETTE FAY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6475 S YALE AVE, SUITE 400, TULSA, OK 74136-7816
(918) 585-5658
(918) 585-5670
Mailing address
6600 S YALE AVE, SUITE 1400, TULSA, OK 74136-3347
(918) 488-6001
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
19498
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100126430B
—
OK
Enumeration date
08/19/2006
Last updated
04/27/2011
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