NPI 1316169543
Scott Lee Lillemo
Practice location
- Address
- 8827 N Government Way, Hayden, ID 83835-8231
- Phone
- (208) 762-3455
Registered specialties
Optician
Primary
Registry record
- NPI
- 1316169543
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 3 May 2007
- Record last updated
- 14 Jul 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.