Healthcare Provider Details
I. General information
NPI: 1194870832
Provider Name (Legal Business Name): LOWELL F SCOTT JR MD PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/24/2007
Last Update Date: 11/10/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
611 FEDERAL ST STE 3
MILTON DE
19968-1157
US
IV. Provider business mailing address
611 FEDERAL ST STE 3
MILTON DE
19968-1157
US
V. Phone/Fax
- Phone: 302-684-1119
- Fax: 302-684-1187
- Phone: 302-684-1119
- Fax: 302-684-1187
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
LOWELL
FRANCIS
SCOTT
JR.
Title or Position: PRESIDENT
Credential: MD
Phone: 302-684-1119