Individual
ELIZABETH N. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
123 FRONTAGE ROAD A, GRAY, LA 70359-6301
(985) 580-1200
Mailing address
123 FRONTAGE ROAD A, GRAY, LA 70359-6301
(985) 580-1200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.200654
LA
Other
Enumeration date
03/17/2014
Last updated
12/06/2016
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