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Individual

SCOTT PAVUR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC, LAT, NREMT

Contact information

Practice address
5885 LAVEY LN, SUITE 96, BAKER, LA 70714-4280
(225) 615-7530
(225) 615-7530
Mailing address
5885 LAVEY LN, LOT 96, BAKER, LA 70714-4280
(225) 615-7530
(225) 615-7530

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
B0467966
LA
2255A2300X
Athletic Trainer
J00010
LA

Other

Enumeration date
07/28/2006
Last updated
09/11/2025
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