Provider Demographics
NPI:1467252825
Name:SCARRY, LAUREN ANNE
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:ANNE
Last Name:SCARRY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:247 LOYOLA RD
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34293-6517
Mailing Address - Country:US
Mailing Address - Phone:941-716-3040
Mailing Address - Fax:
Practice Address - Street 1:2719 CALUMET AVE
Practice Address - Street 2:
Practice Address - City:MANITOWOC
Practice Address - State:WI
Practice Address - Zip Code:54220-5546
Practice Address - Country:US
Practice Address - Phone:920-686-2333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-15
Last Update Date:2025-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program