Provider Demographics
NPI:1316328578
Name:SCOTT, LAURA-LOUISE (MD)
Entity type:Individual
Prefix:DR
First Name:LAURA-LOUISE
Middle Name:
Last Name:SCOTT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3840 VIA DE LA VALLE STE 100
Mailing Address - Street 2:
Mailing Address - City:DEL MAR
Mailing Address - State:CA
Mailing Address - Zip Code:92014-4268
Mailing Address - Country:US
Mailing Address - Phone:858-252-2174
Mailing Address - Fax:
Practice Address - Street 1:3840 VIA DE LA VALLE STE 100
Practice Address - Street 2:
Practice Address - City:DEL MAR
Practice Address - State:CA
Practice Address - Zip Code:92014-4268
Practice Address - Country:US
Practice Address - Phone:858-252-2174
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-13
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME142690207N00000X
MA264299207R00000X
390200000X
CAA185884207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program