Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SCOTT LEE LILLEMO
Active Sole ProprietorSCOTT LEE LILLEMO is a Optician, Dispensing healthcare provider located in HAYDEN, Idaho. NPI 1316169543 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · HAYDEN, ID
Registration Details
- NPI Number
- 1316169543
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 3, 2007 (19.302556528355 yrs)
- Last Updated
- Jul 14, 2008
- Sole Proprietor
- Yes
Practice Information
- Address
-
8827 N GOVERNMENT WAYHAYDEN, ID, 838358231Browse ID providers · Browse ZIP 83835
- Phone
- 2087623455
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.