Lester Earl Smith Sr.
Individual provider Active NPI Private Vehicle · Gate City, VA
NPI 1356829048 · NPPES record last updated Aug 3, 2018
Key facts
- NPI
- 1356829048
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Private Vehicle 347C00000X
- License
- T65009157 (VA)
- Practice address
- 101 Bramblewood Drive
Gate City, VA 24251-2425 - Phone
- (276) 594-2064
- Fax
- (276) 452-1974
- NPI assigned
- Aug 3, 2018
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T65009157 | VA | MD | Private Vehicle |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | T65009157 | VA | Yes |
Addresses
Primary practice location
101 Bramblewood Drive
Gate City, VA 24251-2425
Mailing address
PO Box 1770
Gate City, VA 24251-1770
Phone (276) 594-2064
Other providers in Gate City, VA
- Brack Edward Slate
- Andrew Christopher Harrison Slemp
- Katrina Rhenea Smith-Toole
- Betty Kimbler Smith
- Kellie Dorton Smith
- Lester Earl Smith Jr.
- Roderick Malcolm Smith
- Southwest Virginia Child Development Services
- Southwest Virginia Child Development Services Corp
- Templeton Dentistry, PC
All providers in Gate City, VA · Private Vehicle in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.