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Individual

AMY TYCER SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
8585 PICARDY AVE, BATON ROUGE, LA 70809-3679
(800) 893-9698
Mailing address
200 CORPORATE BLVD, SUITE 201, LAFAYETTE, LA 70508-3870

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.200284
LA

Other

Enumeration date
07/08/2009
Last updated
07/08/2009
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