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Individual
TAMARA LYNN LEMMONS
Active
Individual
TAMARA LYNN LEMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP113882
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172163101 01
—
TX
05
—
172163102
—
TX
01
—
85010U
BLUE CROSS PROVIDER ID
TX
01
—
P00236889
RAILROAD MEDICARE
—
Enumeration date
01/17/2007
Last updated
11/01/2019
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