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Lucille D Scott, DO,ABO, NCLE

Technician/Technologist, Optician in Davie, FL. Individual provider (NPI-1).

NPI number1669165726
StatusActive
Last updated in NPPESJun 2, 2023

Details

NPI
1669165726
Entity type
Individual (NPI-1)
Name
Lucille D Scott
Credential
DO,ABO, NCLE
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 2, 2023
Certification date
Jun 2, 2023
Last updated
Jun 2, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1800X Technician/Technologist, OpticianDO6177FLYes

Practice location

4301 S University Dr
Davie, FL 33328-3002

Phone 954-331-3616

Mailing address

4301 S University Dr
Davie, FL 33328-3002

Phone 954-331-3616 · Fax 954-473-5122

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