Individual
LARISSA ZAULYANOV SCANLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13550 JOG ROAD, S. D201, DELRAY BEACH, FL 33446-3809
(561) 637-2516
(561) 637-4657
Mailing address
13550 JOG ROAD, S. D201, DELRAY BEACH, FL 33446-3809
(561) 637-2516
(561) 637-4657
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
ME95300
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME95300
LICENSE
FL
Enumeration date
06/18/2006
Last updated
06/03/2015
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