Individual
DR. SCOTT MATTHEW LILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
452 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-7677
(614) 293-5614
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-7677
(614) 293-5614
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
35.121520
OH
207RI0011X
Interventional Cardiology Physician
Primary
35.121520
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0087579
—
OH
Enumeration date
12/21/2006
Last updated
04/20/2026
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