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Individual
GREGORY KEITH LEMOINE
Active
Individual
GREGORY KEITH LEMOINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20651
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E705-0004
FEDERAL BLUECROSS/SHIELD
MD
01
—
LV17
CAREFIRST BLUECROSS/SHIEL
MD
Enumeration date
05/04/2006
Last updated
09/27/2021
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