Provider Demographics
NPI:1730599291
Name:SCOTT, LORI E (LACA)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:E
Last Name:SCOTT
Suffix:
Gender:F
Credentials:LACA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1828 VETERANS MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:ABBEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70510-3142
Mailing Address - Country:US
Mailing Address - Phone:337-577-2124
Mailing Address - Fax:
Practice Address - Street 1:1828 VETERANS MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:ABBEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70510-3142
Practice Address - Country:US
Practice Address - Phone:337-577-2124
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-05
Last Update Date:2014-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA000005 L.ACA171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist