Marcelleno D.L Scott
Specialist in Baton Rouge, LA. Individual provider (NPI-1).
NPI number1265124366
StatusActive
Last updated in NPPESMay 25, 2023
Details
- NPI
- 1265124366
- Entity type
- Individual (NPI-1)
- Name
- Marcelleno D.L Scott
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 25, 2023
- Certification date
- May 25, 2023
- Last updated
- May 25, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
711 Colonial DrBaton Rouge, LA 70806-6549
Phone 504-432-4214
Mailing address
711 Colonial DrBaton Rouge, LA 70806-6549
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