Provider Demographics
NPI:1922047406
Name:LANOUX, SCOTT DAVID (MD)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:DAVID
Last Name:LANOUX
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4324 VETERANS BLVD
Mailing Address - Street 2:107
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006
Mailing Address - Country:US
Mailing Address - Phone:504-883-7690
Mailing Address - Fax:504-455-7864
Practice Address - Street 1:4324 VETERANS BLVD
Practice Address - Street 2:107
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006
Practice Address - Country:US
Practice Address - Phone:504-883-7690
Practice Address - Fax:504-455-7864
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA019088207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1900681Medicaid
LA5N141Medicare ID - Type Unspecified
C75211Medicare UPIN
LA1900681Medicaid