Provider Demographics
NPI:1265742241
Name:SCOTT, PATRICIA LYNNE
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:LYNNE
Last Name:SCOTT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9505 N BEDFORD RD LOT 25
Mailing Address - Street 2:
Mailing Address - City:MACEDONIA
Mailing Address - State:OH
Mailing Address - Zip Code:44056-1038
Mailing Address - Country:US
Mailing Address - Phone:440-552-5888
Mailing Address - Fax:
Practice Address - Street 1:9505 N BEDFORD RD LOT 25
Practice Address - Street 2:
Practice Address - City:MACEDONIA
Practice Address - State:OH
Practice Address - Zip Code:44056-1038
Practice Address - Country:US
Practice Address - Phone:440-552-5888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-08
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health