| Doctor Name: | LORI M SMITH |
| NPI Number: | 1033465422 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN,FNP |
| License Number: | AP06604 |
| Business Practice Address: | 1207 Paul Maillard Rd Luling, LA - 700704547 |
| Business Phone Number: | 9857855700 |
| Business Fax Number: | 9857855701 |
| Mailing Address: | 1207 Paul Maillard Rd, LULING |
| State: | LA |
| Postal Code: | 700704547 |
| Phone Number: | 9857855700 |
| Fax Number: | 9857855701 |
| NPI Enumeration Date: | 08/03/2012 |
| NPI Last Update Date: | 08/03/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP06604 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |