Healthcare Provider Details

I. General information

NPI: 1811120660
Provider Name (Legal Business Name): LAUREN T SCOTT D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2009
Last Update Date: 08/13/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5530 MUNFORD RD STE 111
RALEIGH NC
27612-2638
US

IV. Provider business mailing address

916 W MORGAN ST
RALEIGH NC
27603-1512
US

V. Phone/Fax

Practice location:
  • Phone: 919-782-3870
  • Fax: 919-782-3867
Mailing address:
  • Phone: 919-782-3870
  • Fax: 919-782-3867

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number3991
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License Number3991
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3991
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License Number3991
License Number StateNC
# 5
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number3991
License Number StateNC
# 6
Primary TaxonomyN
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number3991
License Number StateNC
# 7
Primary TaxonomyN
Taxonomy Code111NP0017X
TaxonomyPediatric Chiropractor
License Number3991
License Number StateNC
# 8
Primary TaxonomyN
Taxonomy Code111NR0200X
TaxonomyRadiology Chiropractor
License Number3991
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: