Provider Demographics
NPI:1114210572
Name:SCOTT, LAUREN ALLEN (MD)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:ALLEN
Last Name:SCOTT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1836 SOUTH AVE
Mailing Address - Street 2:
Mailing Address - City:LA CROSSE
Mailing Address - State:WI
Mailing Address - Zip Code:54601-5429
Mailing Address - Country:US
Mailing Address - Phone:608-782-7300
Mailing Address - Fax:
Practice Address - Street 1:1836 SOUTH AVE
Practice Address - Street 2:
Practice Address - City:LA CROSSE
Practice Address - State:WI
Practice Address - Zip Code:54601-5429
Practice Address - Country:US
Practice Address - Phone:608-782-7300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-18
Last Update Date:2021-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101258047207V00000X, 207VF0040X
WI75875207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VF0040XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyFemale Pelvic Medicine and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1114210572OtherUNITED HEALTHCARE
VA1114210572OtherMULTIPLAN
VA1114210572OtherCIGNA
VA-010OtherTRICARE/CHAMPUS
VA1114210572OtherCORVEL
VA1114210572OtherAETNA
VA1114210572OtherVIRGINIA PREMIER HEALTH PLAN
VA1114210572OtherANTHEM BC/BS
VA1114210572Medicaid
VA1114210572OtherCOVENTRY NETWORK
NC1114210572Medicaid
VA1114210572OtherOPTIMA HEALTH
VA1114210572OtherUSA MANAGED CARE
VA1114210572OtherVIRGINIA HEALTH NETWORK
VAP01654653Medicare PIN
VA1114210572OtherCOVENTRY NETWORK