Individual
LOREN E SMITH II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
341 HOSPITAL DR, LEBANON, MO 65536-9217
(417) 532-7850
(417) 532-2451
Mailing address
30713 HIGHWAY BB, LEBANON, MO 65536-8255
(417) 532-7045
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50-002369
OH
Other
Enumeration date
04/10/2006
Last updated
07/08/2007
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