Individual
DR. DEBORAH W LA SCOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3 DOCTORS PARK, CAPE GIRARDEAU, MO 63703-4927
(573) 381-6226
(573) 334-5724
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
34869
AL
208800000X
Urology Physician
Primary
200900163
MO
208800000X
Urology Physician
34869
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102I346149
MEDICARE
AL
05
—
184816
—
AL
05
—
209395003
—
MO
01
—
51175377
BCBS
AL
Enumeration date
06/11/2007
Last updated
05/15/2023
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