Provider Demographics
NPI:1841212941
Name:HEALY SCARPACI, LAUREN (MD)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:
Last Name:HEALY SCARPACI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:722 YORKLYN RD
Mailing Address - Street 2:STONE MILL OFFICE PARK, SUITE 100
Mailing Address - City:HOCKESSIN
Mailing Address - State:DE
Mailing Address - Zip Code:19707
Mailing Address - Country:US
Mailing Address - Phone:302-235-1188
Mailing Address - Fax:302-239-2604
Practice Address - Street 1:722 YORKLYN RD
Practice Address - Street 2:STONE MILL OFFICE PARK, SUITE 100
Practice Address - City:HOCKESSIN
Practice Address - State:DE
Practice Address - Zip Code:19707
Practice Address - Country:US
Practice Address - Phone:302-235-1188
Practice Address - Fax:302-239-2604
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2016-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD-072473-L208000000X
DEC10006112208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
H63633Medicare UPIN
491274Medicare ID - Type Unspecified