Provider Demographics
NPI:1568208809
Name:SCOTT-MCGEE, LISA JESTINE
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:JESTINE
Last Name:SCOTT-MCGEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8615 N WINDING BND
Mailing Address - Street 2:
Mailing Address - City:MCCORDSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46055-6237
Mailing Address - Country:US
Mailing Address - Phone:317-795-5904
Mailing Address - Fax:
Practice Address - Street 1:8615 N WINDING BND
Practice Address - Street 2:
Practice Address - City:MCCORDSVILLE
Practice Address - State:IN
Practice Address - Zip Code:46055-6237
Practice Address - Country:US
Practice Address - Phone:317-795-5904
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-06
Last Update Date:2024-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN23-016570-1376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker