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NPI Code Detail

MEDICARE: JOHN L SCOTT CRNA

MEDICARE: JOHN L SCOTT CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician32007LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427038827
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN L SCOTT CRNA
Provider Business Mailing Address
First Line : 1373 JEFFERSON DR
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70605-5539
Country : US
Telephone Number : 337-478-8938
Fax Number :
Provider Business Practice Location Address
First Line : 751 E BAYOU PINES DR
Second Line : SUITE L
City : LAKE CHARLES
State : LA
Zip : 70601-7196
Country : US
Telephone Number : 337-436-8700
Fax Number : 337-433-5942
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2006
Last Update Date : 02/26/2008

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