Organization
LONNIE R. SMITH, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LONNIE RAY SMITH M.D. (OWNER)
(559) 686-2599
Entity
Organization
Contact information
Practice address
1066 N CHERRY ST, TULARE, CA 93274-2251
(559) 686-2599
(559) 686-5206
Mailing address
1066 N CHERRY ST, TULARE, CA 93274-2251
(559) 686-2599
(559) 686-5206
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G51637
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G516371
—
CA
01
—
1992817936
NPI
CA
01
—
G51637
LICENSE
CA
Enumeration date
08/16/2010
Last updated
08/16/2010
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