Provider Demographics
NPI:1497928246
Name:LAUZE, SCOTT RICHARD (MD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:RICHARD
Last Name:LAUZE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:4255 18TH ST
Mailing Address - Street 2:DIAMONDWOOD MEDICAL ARTS
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94114-2409
Mailing Address - Country:US
Mailing Address - Phone:415-640-7923
Mailing Address - Fax:415-626-2741
Practice Address - Street 1:4255 18TH ST
Practice Address - Street 2:DIAMONDWOOD MEDICAL ARTS
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94114-2409
Practice Address - Country:US
Practice Address - Phone:415-640-7923
Practice Address - Fax:415-626-2741
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-11
Last Update Date:2008-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG789292084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry