Individual
WYATT LOMBARD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10833 LE CONTE AVE, LOS ANGELES, CA 90095-3075
(310) 825-6373
Mailing address
1320 YORK AVE APT 30C, NEW YORK, NY 10021-4876
(504) 919-0806
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
103693
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/17/2021
Last updated
03/17/2025
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