Provider Demographics
NPI:1265020572
Name:SCOTT, LAJAUN Z
Entity Type:Individual
Prefix:
First Name:LAJAUN
Middle Name:Z
Last Name:SCOTT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5614 CLAY PL NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20019-6758
Mailing Address - Country:US
Mailing Address - Phone:202-423-9668
Mailing Address - Fax:
Practice Address - Street 1:5614 CLAY PL NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-6758
Practice Address - Country:US
Practice Address - Phone:202-423-9668
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-04
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide