Individual
MELODY LYNETTE SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMF
Contact information
Practice address
223 EVANGELINE WALK, BOSSIER CITY, LA 71111-5475
(318) 294-0049
(318) 746-1533
Mailing address
223 EVANGELINE WALK, BOSSIER CITY, LA 71111-5475
(318) 294-0049
(318) 746-1533
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
Primary
C53163
LA
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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