MR. SCOTT LANCE LAROQUE


Address: 4722 Bending Grv, San Antonio, TX 78259-2289
Phone: 2108549488

MR. SCOTT LANCE LAROQUE (NPI# 1568785202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568785202
Entity Type Individual
Full Name MR. SCOTT LANCE LAROQUE
Credential CNIM
Practice Address 4722 Bending Grv
San Antonio
TX 78259-2289
Practice Telephone 2108549488
Practice Fax Number 2105928370
Mailing Telephone 2108549488
Mailing Fax Number 2105928370
Enumeration Date 2010-03-09
Last Update Date 2010-03-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 246ZE0600X Specialist/Technologist, Other
Specialization: Electroneurodiagnostic
1511 TX Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 4722 BENDING GRV
City SAN ANTONIO
State TX
Zip Code 78259-2289

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 246ZE0600X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Specialist/Technologist, Other
Specialization Electroneurodiagnostic

Taxonomy Definition

Definition to come...

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Competitor

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City SAN ANTONIO
Zip Code 78259

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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