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Individual
LAURA L SCOVILLE
Active
Individual
LAURA L SCOVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
204267
MA
208M00000X
Hospitalist Physician
Primary
204267
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000007855
BMC HEALTHNET
MA
05
—
0133141
—
MA
01
—
043194547
CIGNA
MA
01
—
204267
CONNECTICARE
MA
01
—
28648
HEALTH NEW ENGLAND
MA
01
—
5288121
AETNA
MA
01
—
690987
HARVARD PILGRIM HEALTH PL
MA
01
—
J23596
BCBA OF MA
MA
Enumeration date
06/21/2006
Last updated
04/22/2016
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