Individual
ROBERT LEWIS SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11398 MORTON RD, KEITHVILLE, LA 71047-6529
(214) 763-9422
Mailing address
11398 MORTON RD, KEITHVILLE, LA 71047-6529
(214) 763-9422
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
12751
LA
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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