Provider Demographics
NPI:1437232493
Name:LAPAYOVER, SCOTT LEE (ATC)
Entity Type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:LEE
Last Name:LAPAYOVER
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58 GREENSWAY WALK
Mailing Address - Street 2:
Mailing Address - City:PENNSAUKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08109-3440
Mailing Address - Country:US
Mailing Address - Phone:856-488-5445
Mailing Address - Fax:
Practice Address - Street 1:350 EDGEWOOD AVE
Practice Address - Street 2:
Practice Address - City:AUDUBON
Practice Address - State:NJ
Practice Address - Zip Code:08106-2227
Practice Address - Country:US
Practice Address - Phone:856-547-7695
Practice Address - Fax:856-522-0162
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MT000151002255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer