Provider Demographics
NPI:1528161056
Name:SCARIANO, LAWRENCE ANTHONY (MD)
Entity type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:ANTHONY
Last Name:SCARIANO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7792 OAKVIEW PL
Mailing Address - Street 2:
Mailing Address - City:CASTLE PINES
Mailing Address - State:CO
Mailing Address - Zip Code:80108-8868
Mailing Address - Country:US
Mailing Address - Phone:303-910-1938
Mailing Address - Fax:
Practice Address - Street 1:7792 OAKVIEW PL
Practice Address - Street 2:
Practice Address - City:CASTLE PINES
Practice Address - State:CO
Practice Address - Zip Code:80108-8868
Practice Address - Country:US
Practice Address - Phone:303-910-1938
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2013-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO43072207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
F70608Medicare UPIN