Lawrence Scott Ennis, MD

NPI #1023199312 in Destin, Florida

Provider Information

NPI Number: 1023199312
Entity Type: Individual
Name: Lawrence Scott Ennis, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: MD
Enumeration Date: Oct 17, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 4485 FURLING LN
City: Destin
State: Florida
ZIP Code: 32541-5331
Phone: (850) 654-1194

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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