# BRADLEY T LEMON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1366448730
- **Gender:** Man
- **Credential:** D.P.M, F.A.C.F.S

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | E10000121 | DE | Yes |

## Other

- **Enumeration date:** 06/22/2005
- **Last updated:** 02/04/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0000776817 | — | DE |
| 01 | — | 2161 | COVENTRY | DE |
| 01 | — | 2220599000 | AMERIHEALTH | DE |
| 01 | — | 3314440 | AETNA - PPO | DE |
| 01 | — | 3316680 | AETNA - HMO | DE |
| 01 | — | 448142 | OPTIMUM CHOICE | DE |
| 01 | — | 510401832 | BLUE CROSS BLUE SHIELD | DE |
| 01 | — | CIGNA | 8699345001 | DE |
| 01 | — | P00062710 | RAILROAD MEDICARE | DE |