SCOTT LEE LILLEMO

HAYDEN, ID
NPI1316169543
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy156FX1800X Technician/Technologist Optician
Enumeration Date2007-05-03
Last Update Date2008-07-14
Business Address
SCOTT LEE LILLEMO
8827 N GOVERNMENT WAY
HAYDEN, ID 83835-8231
Phone number: 208-762-3455
Mailing Address
SCOTT LEE LILLEMO
8827 N GOVERNMENT WAY
HAYDEN, ID 83835-8231
Phone number: 208-762-3455
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