# JASON R LEMON

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

## Provider details

- **NPI number:** 1518922129
- **Gender:** Man
- **Credential:** PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA467 | KY | Yes |

## Other

- **Enumeration date:** 04/18/2006
- **Last updated:** 08/05/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00000327353 | ANTHEM / NCMA | KY |
| 01 | — | 000028412G | HUMANA / NCMA | KY |
| 01 | — | 040479 | SIHO / NCMA | KY |
| 01 | — | 1205913 | CHA / NCMA | KY |
| 01 | — | 2446855000 | PASSPORT ADVANTAGE / NCMA | KY |
| 01 | — | 50005551 | PASSPORT / NCMA | KY |
| 05 | — | 95003331 | — | KY |