Individual
LAURA L SCOVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 LOCUST STREET, NORTHAMPTON, MA 01060
(413) 665-4590
(413) 582-2566
Mailing address
30 LOCUST STREET, NORTHAMPTON, MA 01060
(413) 665-4590
(413) 582-2566
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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