| Doctor Name: | MR. LADUAN SMEDLEY |
| NPI Number: | 1023402070 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CPO |
| License Number: | 03498 |
| Business Practice Address: | 2076 Alta Loma St Davis, CA - 95616 |
| Business Phone Number: | 9165390853 |
| Business Fax Number: | |
| Mailing Address: | 2076 Alta Loma St, DAVIS |
| State: | CA |
| Postal Code: | 956160714 |
| Phone Number: | 9165390853 |
| Fax Number: | |
| NPI Enumeration Date: | 03/26/2015 |
| NPI Last Update Date: | 03/26/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1744P3200X |
| License Number: | 03498 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | Prosthetics Case Management |
| Taxonomy Definition: | |