MEDICARE: MRS. LISA SCOTT ARTHUR D.C.

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	111N00000X	Chiropractor	DC18731	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DC18731	OTHER	CA	STATE LICENSE #

General Provider Information

NPI Number	:	1831119080
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LISA SCOTT ARTHUR D.C.

Provider Business Mailing Address
First Line	:	330 PARK AVE
Second Line	:	SUITE 3
City	:	LAGUNA BEACH
State	:	CA
Zip	:	92651-2352
Country	:	US
Telephone Number	:	949-497-2553
Fax Number	:	949-497-5273

Provider Business Practice Location Address
First Line	:	330 PARK AVE
Second Line	:	SUITE 3
City	:	LAGUNA BEACH
State	:	CA
Zip	:	92651-2352
Country	:	US
Telephone Number	:	949-497-2553
Fax Number	:	949-497-5273

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	07/08/2007

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