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Individual

DR. LEWIS KING SCOTT

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
120 PROFESSIONAL DR, WEST MONROE, LA 71291-5332
(318) 325-4600
(318) 322-9714
Mailing address
120 PROFESSIONAL DR, WEST MONROE, LA 71291-5332
(318) 325-4600
(318) 322-9714

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3200
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1632006
LA
01
LA LICENSE --3200
LA LICENSE NUMBER
LA
Enumeration date
06/10/2005
Last updated
07/09/2007
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