SEAN T LILLE MD NPI 1538132691

NPI Information

NPI: 1538132691
Provider Name: SEAN T LILLE, MD
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

Address:
10210 N 92ND ST
SUITE 203
SCOTTSDALE, AZ
ZIP 85258
Phone: (480) 661-6197
Get Directions

Sean T Lille, MD is a plastic and reconstructive surgery surgery in Scottsdale, AZ. The provider is a surgeon who specializes in plastic and reconstructive surgery. Sean T Lille, MD NPI is 1538132691. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10210 N 92ND ST
SUITE 203
SCOTTSDALE, AZ
ZIP 85258-509
Phone: (480) 661-6197
Fax: (480) 661-8146

The enumeration date for this NPI number is 2/9/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0122X	Surgery	Plastic and Reconstructive Surgery	27453	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	G19530	MEDICARE UPIN	ARIZONA
2	Z60632	MEDICARE ID-TYPE UNSPECIFIED	ARIZONA	MEDICARE
3	AZ0875140	OTHER	ARIZONA	BLUE CROSS
4	7492124	OTHER	ARIZONA	AETNA
5	47965103	MEDICAID	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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