Individual
LISA M SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9409 SHELBYVILLE RD STE 104, LOUISVILLE, KY 40222-5157
(502) 588-0740
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
31834
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000043113
BLUE CROSS BLUE SHIELD
KY
01
—
108407
HEALTH PARTNERS
—
01
—
110143960
RAILROAD MEDICARE
KY
Enumeration date
07/11/2005
Last updated
06/30/2022
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