Lawrence Lamar Smith

Physical Therapy Assistant · Mentone, CA

Individual Active NPI

NPI number 1104530278

Practice location

1350 Wabash Ave
Mentone, CA 92359-1124
Phone
(909) 492-4106

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NPI record

NPI
1104530278
Entity type
Individual (Type 1)
Enumeration date
January 12, 2023
Last updated
January 12, 2023
Certified
January 12, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 5727 CA

Mailing address

10411 Beryl Ave
Mentone, CA 92359-1295
Phone
(909) 492-4106

About Lawrence Smith

Lawrence Lamar Smith is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 1350 Wabash Ave, Mentone, CA 92359-1124. The NPI number 1104530278 was assigned on January 12, 2023 and the record was last updated on January 12, 2023.

Lawrence Smith lists a license in the registry: #5727 (CA) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Lawrence Lamar Smith?

The NPI number is 1104530278.

What is the phone number of Lawrence Smith?

The phone number listed for the practice location is (909) 492-4106.

Where is Lawrence Smith located?

1350 Wabash Ave, Mentone, CA 92359-1124.

What is the taxonomy code for Lawrence Smith?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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