Smith, Lary J

Smith, Lary J is an individual health care provider with primary practice located at 754 South Main Suite 3, St George UT 84770-5504. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Smith, Lary J can be contacted via phone (435) 628-2671.

Contact Information

Primary practice address
754 South Main Suite 3 St George UT 84770-5504
Phone: (435) 628-2671
Fax: (435) 634-1601
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 314121-0501 Utah
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 9203 Nevada
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 314121-0501 Utah
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 9203 Nevada

Profile Details

NPI number 1093713539
LBN Legal business name Smith, Lary J
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Jan 13th, 2014 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1093713539 NPPES
Nevada MEDICAID 002188004

Popular Providers