Healthcare Provider Details

I. General information

NPI: 1306532403
Provider Name (Legal Business Name): REED LEWIS SMITH DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2023
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1351 W MAIN ST
LAKE CITY IA
51449-1585
US

IV. Provider business mailing address

1351 W MAIN ST
LAKE CITY IA
51449-1585
US

V. Phone/Fax

Practice location:
  • Phone: 712-464-7907
  • Fax: 712-464-7412
Mailing address:
  • Phone: 712-464-7907
  • Fax: 712-464-7412

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number137357
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: