Individual
LORI M SCALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 HIGH POINT CT, MT WASHINGTON, KY 40047-6560
(502) 955-6129
(502) 955-8161
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35852
KY
208000000X
Pediatrics Physician
35852
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000350676
ANTHEM / NMA
—
01
—
000052154G
HUMANA / NMA
—
01
—
023067
SIHO / NMA
—
01
—
1208710
CHA / NMA
—
01
—
2443114000
PASSPORT ADVANTAGE / NMA
—
01
—
50001529
PASSPORT / NMA
—
01
—
5843355
CIGNA / NMA
—
05
—
64067580
—
KY
01
—
P00176818
RAILROAD MEDICARE
KY
Enumeration date
04/18/2006
Last updated
10/28/2024
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