Provider Demographics
NPI:1306308663
Name:SCOTT, LAKINA S
Entity type:Individual
Prefix:
First Name:LAKINA
Middle Name:S
Last Name:SCOTT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8506 GOLD RIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33619-4931
Mailing Address - Country:US
Mailing Address - Phone:813-419-9288
Mailing Address - Fax:
Practice Address - Street 1:8506 GOLD RIDGE CIR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33619-4931
Practice Address - Country:US
Practice Address - Phone:813-419-9288
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-04
Last Update Date:2019-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker