Provider Demographics
NPI:1790941524
Name:LAURIANNE SCOTT LLC
Entity Type:Organization
Organization Name:LAURIANNE SCOTT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURIANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:740-689-2079
Mailing Address - Street 1:135 N EWING ST
Mailing Address - Street 2:SUITE 205
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-3382
Mailing Address - Country:US
Mailing Address - Phone:740-689-2079
Mailing Address - Fax:740-689-2084
Practice Address - Street 1:135 N EWING ST
Practice Address - Street 2:SUITE 205
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-3382
Practice Address - Country:US
Practice Address - Phone:740-689-2079
Practice Address - Fax:740-689-2084
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-31
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34007314S174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHH36903Medicare UPIN