Healthcare Provider Details

I. General information

NPI: 1811939176
Provider Name (Legal Business Name): LORA D YEAGER-SMITH DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2006
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 W CREST ST STE A
ESCONDIDO CA
92025-1716
US

IV. Provider business mailing address

260 W CREST ST STE A
ESCONDIDO CA
92025-1716
US

V. Phone/Fax

Practice location:
  • Phone: 447-317-0307
  • Fax: 833-468-5105
Mailing address:
  • Phone: 442-317-0307
  • Fax: 833-468-5105

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberE5822
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: