MEDICARE: DR. LAWSON C SMART M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	MD016334E	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346211521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAWSON C SMART M.D.

Provider Business Mailing Address
First Line	:	640 ALDEN ST
Second Line	:
City	:	MEADVILLE
State	:	PA
Zip	:	16335-2348
Country	:	US
Telephone Number	:	814-724-1252
Fax Number	:	814-333-8871

Provider Business Practice Location Address
First Line	:	640 ALDEN ST
Second Line	:
City	:	MEADVILLE
State	:	PA
Zip	:	16335-2348
Country	:	US
Telephone Number	:	814-724-1252
Fax Number	:	814-333-8871

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2006
Last Update Date	:	11/19/2007

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