# MARK EDWARD LEMMONS MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053508416
- **Authorized official:** MARK EDWARD LEMMONS MD (PRESIDENT)
- **Authorized official phone:** (317) 366-7682

## Contact information

- **Practice address:** 7015 KENTUCKY AVE, 109, INDIANAPOLIS, IN 46113
- **Practice address phone:** (317) 856-4800
- **Practice address fax:** (317) 856-6215
- **Mailing address:** 13380 N WHITE CLOUD CT, CAMBY, IN 46113-8709
- **Mailing address phone:** (317) 366-7682
- **Mailing address fax:** (317) 856-6215

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/01/2007
- **Last updated:** 07/22/2008