Individual provider · Type 1 NPI
Ernest Clyde Smoot, MD
Plastic and Reconstructive Surgery Physician · Lake Charles, LA
NPI number
1790756039
Active
Practice location
4150 Nelson Rd, Bldg. A, Ste. 2
Lake Charles, LA 70605-4148
Fax (337) 478-5588
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | 12854R (LA) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
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About NPI 1790756039
Ernest Clyde Smoot, MD's National Provider Identifier is 1790756039, issued on Jan 26, 2006. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Lake Charles, LA. The record was last updated on Sep 27, 2011.