Lee Elliott Smith
Facial Plastic Surgeon
122 12th St Ste A
Princeton
, West Virginia 24740
Lee Elliott Smith
Facial Plastic Surgeon
122 12th St Ste A
Princeton
, West Virginia 24740
(304) 487-3407
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About
Features
Specialties
- Facial Plastic Surgeon
Languages spoken
- English
Location
First Address
- Lee Elliott Smith
- Po Box 1369
- Princeton, WV
- Zip : 24740-1369
- Phone : (304) 487-3407
Second Address
- Lee Elliott Smith
- 122 12th St Ste A
- Princeton, WV
- Zip : 24740
- Fax : (304) 487-2203
- Phone : (304) 487-3407
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YS0123X | Facial Plastic Surgeon | 13597 | WV |
National Provider Identifier
| NPI | 1841307311 |
|---|---|
| Provider Name | Lee Elliott Smith |
| First Address | Princeton, WV 24740-1369 |
| Second Address | Princeton, WV 24740 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/08/2006 |
| Last Update Date | 25/09/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0101114000 | (05) | WV |
| 040000726 | RR MEDICARE (01) | |
| A48489 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.