institution
E. Clyde Smoot, M.d.-llc
Plastic and Reconstructive Surgery Physician in Lake Charles, Louisiana
NPI 1528247277

E. Clyde Smoot, M.d.-llc is a Plastic and Reconstructive Surgery Physician based in Lake Charles, LA and is specialized in Plastic and Reconstructive Surgery. E. Clyde Smoot, M.d.-llc practices in Lake Charles, LA. The NPI Number for E. Clyde Smoot, M.d.-llc is 1528247277 and holds a License No. MD12854R (Louisiana).

The current practice location address for E. Clyde Smoot, M.d.-llc is 4150 Nelson Rd, Lake Charles, LA and can be reached out via phone at 337-478-5577 and via fax at 337-478-5588.

Location: 4150 Nelson Rd, Lake Charles, LA, 70605-4148
institution
Provider Profile Details
NPI Number
1528247277
Provider Name
E. Clyde Smoot, M.d.-llc
Credential
Provider Entity Type
Organization
Address
4150 Nelson Rd, Lake Charles, LA, 70605-4148
Phone Number
337-478-5577
Fax Number
337-478-5588
Provider Enumeration Date
10/30/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1978671 05 LA
institution
Provider Business Practice Location Address Details
Address
4150 Nelson Rd
City
State
Zip
70605-4148
Phone Number
337-478-5577
Fax Number
337-478-5588
person
Provider Business Mailing Address Details
Address
4150 Nelson Rd
City
State
Zip
70605-4148
Phone Number
337-478-5577
Fax Number
337-478-5588
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
MD12854R (Louisiana)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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