Individual
LESTER EARL SMITH SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 BRAMBLEWOOD DRIVE, GATE CITY, VA 24251-2425
(276) 594-2064
(276) 452-1974
Mailing address
PO BOX 1770, GATE CITY, VA 24251-1770
(276) 594-2064
(276) 458-1974
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
T65009157
VA
Other
Enumeration date
08/03/2018
Last updated
08/03/2018
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