| Doctor Name: | JAYMI SMITH |
| NPI Number: | 1992108773 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 1398 |
| Business Practice Address: | 3401 W Gore Blvd Suite 103 Lawton, OK - 735056332 |
| Business Phone Number: | 5805855554 |
| Business Fax Number: | 5803555893 |
| Mailing Address: | Po Box 785, LAWTON |
| State: | OK |
| Postal Code: | 735020785 |
| Phone Number: | 5803579984 |
| Fax Number: | 5803573277 |
| NPI Enumeration Date: | 10/07/2014 |
| NPI Last Update Date: | 10/07/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 1398 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |