Healthcare Provider Details

I. General information

NPI: 1245578012
Provider Name (Legal Business Name): LYF ANESTHESIA PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2013
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 N WILMOT RD
TUCSON AZ
85711-2602
US

IV. Provider business mailing address

PO BOX 52650
MESA AZ
85208-0133
US

V. Phone/Fax

Practice location:
  • Phone: 520-226-4444
  • Fax: 520-226-8376
Mailing address:
  • Phone: 888-206-5902
  • Fax: 480-466-7536

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: SCOTT B SMYTHE
Title or Position: OWNER/SOLE MEMBER
Credential: MD
Phone: 520-266-4444