Individual
MR. SCOTT LANCE LAROQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNIM
Contact information
Practice address
4722 BENDING GRV, SAN ANTONIO, TX 78259-2289
(210) 854-9488
(210) 592-8370
Mailing address
4722 BENDING GRV, SAN ANTONIO, TX 78259-2289
(210) 854-9488
(210) 592-8370
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
1511
TX
Other
Enumeration date
03/09/2010
Last updated
03/09/2010
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