Individual
LESLIE M SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7005 NW KINGSBURY AVE, LAWTON, OK 73505-2624
(580) 583-7106
Mailing address
7005 NW KINGSBURY AVE, LAWTON, OK 73505-2624
(580) 583-7106
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
03/29/2013
Last updated
03/29/2013
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