Individual
DR. LANE FIELDING SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8871 W SAHARA AVE, LAS VEGAS, NV 89117-5865
(702) 838-2455
(702) 838-7055
Mailing address
8871 W SAHARA AVE, LAS VEGAS, NV 89117-5865
(702) 838-2455
(702) 838-7055
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
274582-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
880512075
TAX ID #
UT
Enumeration date
11/21/2006
Last updated
01/15/2013
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