MEDICARE: LOWELL F SCOTT JR MD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician

General Provider Information

NPI Number	:	1194870832
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOWELL F SCOTT JR MD PA

Provider Business Mailing Address
First Line	:	611 FEDERAL ST STE 3
Second Line	:
City	:	MILTON
State	:	DE
Zip	:	19968-1157
Country	:	US
Telephone Number	:	302-684-1119
Fax Number	:	302-684-1187

Provider Business Practice Location Address
First Line	:	611 FEDERAL ST STE 3
Second Line	:
City	:	MILTON
State	:	DE
Zip	:	19968-1157
Country	:	US
Telephone Number	:	302-684-1119
Fax Number	:	302-684-1187

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. LOWELL FRANCIS SCOTT JR.
Credential	:	MD
Telephone Number	:	302-684-1119

Provider Enumeration Date	:	01/24/2007
Last Update Date	:	11/10/2011

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