| 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 |