Scott Lee Lillemo
Scott Lee Lillemo is an Optician in Hayden, Idaho. Practices as a sole proprietor. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
8827 N Government WayHayden, ID 83835-8231
Phone: (208) 762-3455
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X |
|---|
Record details
| NPI number | 1316169543 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 3, 2007 |
| Last updated in NPPES | July 14, 2008 |
| Mailing address | 8827 N Government Way, Hayden, ID 83835-8231 |
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