Individual
LISA A SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
6261 RONALD REAGAN DR STE B19, LAKE SAINT LOUIS, MO 63367-2665
(636) 561-3021
(636) 561-3022
Mailing address
670 MASON RIDGE CENTER DR, STE 300, SAINT LOUIS, MO 63141-8573
(636) 561-3021
(636) 561-3022
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2012039956
MO
Other
Enumeration date
02/04/2013
Last updated
02/12/2021
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