Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 3991 | NC |
N | 111NN0400X | Neurology | 3991 | NC |
N | 111NN1001X | Nutrition | 3991 | NC |
N | 111NP0017X | Pediatric Chiropractor | 3991 | NC |
N | 111NR0200X | Radiology | 3991 | NC |
N | 213ER0200X | Radiology | 3991 | NC |
N | 111NR0400X | Rehabilitation Chiropractor | 3991 | NC |
N | 111NS0005X | Chiropractic Sports Physician | 3991 | NC |
N | 111NX0800X | Chiropractor Orthopedic Specialist | 3991 | NC |
NPI | 1811120660 |
---|---|
Provider Name | Dr. Lauren T Scott |
First Address | Raleigh, NC 27603-1512 |
Second Address | Raleigh, NC 27612-2638 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/08/2009 |
Last Update Date | 13/08/2019 |