Doctor Name: | MR. LORRIN J. SCOTT |
NPI Number: | 1780748418 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.A.-C. |
License Number: | PA00307 |
Business Practice Address: | 997 W Interstate 20 Colorado City, TX - 79512 |
Business Phone Number: | 3257282693 |
Business Fax Number: | 3257282420 |
Mailing Address: | 997 W.est Interstate 20, COLORADO CITY |
State: | TX |
Postal Code: | 79512 |
Phone Number: | 3257282693 |
Fax Number: | 3257282420 |
NPI Enumeration Date: | 12/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA00307 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |