NPI | 1528247277 |
---|---|
Doing Business As | LAKE CHARLES PLASTIC SURGERY |
Entity Type | Organization |
Authorized Contact | ERNEST CLYDE SMOOT Owner 337-478-5577 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: LA MD12854R) |
Enumeration Date | 2007-10-30 |
Last Update Date | 2008-10-01 |