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Individual

MRS. LARRI M SCOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPT 2

Contact information

Practice address
4305 CALSITE CT, ANTIOCH, CA 94509-8942
(925) 366-9901
(925) 777-1976
Mailing address
4305 CALSITE CT, ANTIOCH, CA 94509-8942
(925) 366-9901
(925) 777-1976

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CPA3793
CA

Other

Enumeration date
12/29/2009
Last updated
12/29/2009
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