Individual
MS. LYDIA SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1375 PEARL ST, EUGENE, OR 97401-3523
(541) 683-3377
Mailing address
30764 KOINONIA RD, EUGENE, OR 97405-9432
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
12694
OR
Other
Enumeration date
06/30/2014
Last updated
06/30/2014
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