Basic Information
| Provider Information | |||||||||
| NPI: | 1972665529 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LUNEAU | ||||||||
| FirstName: | SCOTT | ||||||||
| MiddleName: | MICHAEL | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 205 PAGE RD | ||||||||
| Address2: | |||||||||
| City: | PINEHURST | ||||||||
| State: | NC | ||||||||
| PostalCode: | 283748749 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9102955511 | ||||||||
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| Practice Location | |||||||||
| Address1: | 15 REGIONAL DR | ||||||||
| Address2: | |||||||||
| City: | PINEHURST | ||||||||
| State: | NC | ||||||||
| PostalCode: | 283748850 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9102955511 | ||||||||
| FaxNumber: | 9104201616 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/13/2006 | ||||||||
| LastUpdateDate: | 01/24/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208M00000X | 0101245537 | VA | N | Allopathic & Osteopathic Physicians | Hospitalist | 208M00000X | 2009-01278 | NC | N | Allopathic & Osteopathic Physicians | Hospitalist | 207R00000X | 2009-01278 | NC | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 9043508 | 01 | NC | AETNA | OTHER | N0127B | 05 | SC | MEDICAID | 153X5 | 01 | NC | BC/BS NC | OTHER | 1972665529 | 05 | NC | MEDICAID | FH1100760 | 01 | NC | FIRSTCAROLINACARE INSURANCE CO | OTHER | 5912479 | 05 | NC | MEDICAID | NO127B | 01 | SC | SC MEDICAID | OTHER | P01296912 | 01 | NC | PALMETTO GBA RAILROAD MEDICARE | OTHER |