Provider Demographics
NPI:1427815869
Name:SCOTT, LILLIAN ELISE (MD, MBA, MHSA, MED)
Entity type:Individual
Prefix:DR
First Name:LILLIAN
Middle Name:ELISE
Last Name:SCOTT
Suffix:
Gender:F
Credentials:MD, MBA, MHSA, MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 EAST 9TH STREET
Mailing Address - Street 2:UNIT 10H
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72202
Mailing Address - Country:US
Mailing Address - Phone:207-776-3018
Mailing Address - Fax:
Practice Address - Street 1:425 W CAPITOL AVE STE 238
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72201-3405
Practice Address - Country:US
Practice Address - Phone:207-776-3018
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-04
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty
No225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation Therapist
No246W00000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Cardiology