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Individual

DR. DARREL DEAN SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
932 MASSACHUSETTS ST, LAWRENCE, KS 66044-2868
(785) 843-8200
(785) 843-8262
Mailing address
932 MASSACHUSETTS ST., LAWRENCE, KS 66044-2868
(785) 843-8200
(785) 843-8262

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1109-2
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00245743
RAILROAD MEDICARE NO.
KS
Enumeration date
09/15/2006
Last updated
07/08/2007
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