NPIMap

Individual provider Active NPI

Scott Allen Lawrence, MD

  • Family Medicine Physician
  • Detroit Lakes, MN
National Provider Identifier
1407874076
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
47230 Issued in MN
Practice address
1361 Wenner Rd
Detroit Lakes, MN 56501-7918
Phone
(218) 396-6500
Fax
(218) 396-6504
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 47230 MN Primary

Addresses

Primary practice location

1361 Wenner Rd
Detroit Lakes, MN 56501-7918

Mailing address

1361 Wenner Rd
Detroit Lakes, MN 56501-7918
Phone (218) 396-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050523001253 MN Practitioner - Family Practice 6709771140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Dakota School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Liberty Health PLLCGroup PAC ID 0042602112, 2 clinicians

Practice addresses (Care Compare)

1361 Wenner Rd
Detroit Lakes, MN 56501-7918
Phone (218) 396-6500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions48
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
47230MNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Liberty Health PLLC CurrentSince Nov 4, 2021 Accepting new patients
Center for Psychiatric Care PastSince Aug 28, 2000 Accepting new patients

Locations

1361 Wenner Rd
Detroit Lakes, MN 56501
Phone (218) 396-6500

Interoperability endpoints

  • Direct secure messaging: scott.lawrence@375076980064260.direct.elationemr.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1407874076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1361 WENNER RD",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "565017918",
            "telephone_number": "218-396-6500",
            "fax_number": "218-396-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 WENNER RD",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "565017918",
            "telephone_number": "218-396-6500",
            "fax_number": "218-396-6504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "SCOTT",
        "middle_name": "ALLEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "47230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit Lakes, MN

Sources for this page

Verify at the official NPI Registry.