Individual
SCOTT LAWRENCE MACICEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Mailing address
1315 JEFFERSON HWY, NEW ORLEANS, LA 70121-2406
(504) 842-5200
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
N5210
TX
2080P0202X
Pediatric Cardiology Physician
Primary
MD.205586
LA
2080P0202X
Pediatric Cardiology Physician
N5210
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08333210
—
MS
05
—
2306367
—
LA
Enumeration date
03/05/2010
Last updated
07/28/2025
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