Provider Demographics
NPI:1194870832
Name:LOWELL F SCOTT JR MD PA
Entity type:Organization
Organization Name:LOWELL F SCOTT JR MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LOWELL
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:302-684-1119
Mailing Address - Street 1:611 FEDERAL ST STE 3
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:DE
Mailing Address - Zip Code:19968-1157
Mailing Address - Country:US
Mailing Address - Phone:302-684-1119
Mailing Address - Fax:302-684-1187
Practice Address - Street 1:611 FEDERAL ST STE 3
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:DE
Practice Address - Zip Code:19968-1157
Practice Address - Country:US
Practice Address - Phone:302-684-1119
Practice Address - Fax:302-684-1187
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2011-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty