Lille, Sean T

Lille, Sean T is an individual health care provider with primary practice located at 10210 N 92Nd St Suite 203, Scottsdale AZ 85258-4509. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Lille, Sean T can be contacted via phone (480) 661-6197.

Contact Information

Primary practice address
10210 N 92Nd St Suite 203 Scottsdale AZ 85258-4509
Fax: (480) 661-8146
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 27453 Arizona

Profile Details

NPI number 1538132691
LBN Legal business name Lille, Sean T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538132691 NPPES
Arizona Other AZ0875140 BLUE CROSS
Arizona MEDICAID 47965103 BLUE CROSS
Arizona Other 7492124 BLUE CROSS

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