Provider Demographics
NPI:1538132139
Name:SCOTT, LAURIANNE FLORKE (DO)
Entity Type:Individual
Prefix:DR
First Name:LAURIANNE
Middle Name:FLORKE
Last Name:SCOTT
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 NORTH EWING STREET
Mailing Address - Street 2:SUITE 205
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130
Mailing Address - Country:US
Mailing Address - Phone:740-689-2079
Mailing Address - Fax:740-689-2084
Practice Address - Street 1:135 NORTH EWING STREET
Practice Address - Street 2:SUITE 205
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130
Practice Address - Country:US
Practice Address - Phone:740-689-2079
Practice Address - Fax:740-689-2084
Is Sole Proprietor?:No
Enumeration Date:2006-02-13
Last Update Date:2009-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34007314207V00000X
OH37007314207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2236280Medicaid
OH4050242Medicare PIN
OH4050242Medicare ID - Type Unspecified
OH2236280Medicaid
OH36903Medicare UPIN