Smith, Karen Russell
Smith, Karen Russell is an sole proprietor health care provider with primary practice located at 461 Heymann Blvd , Lafayette LA 70503-2616. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Smith, Karen Russell can be contacted via phone (337) 289-8646.Contact Information
Primary practice address
461 Heymann Blvd
Lafayette LA 70503-2616
Phone: (337) 289-8646
Fax: (337) 289-8647
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 1338712 | Louisiana |
Profile Details
| NPI number | 1942293329 |
|---|---|
| LBN Legal business name | Smith, Karen Russell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2005 |
| Last updated | Apr 10th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942293329 | NPPES |
| Louisiana | MEDICAID | 1565342 |
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