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Organization
SOUTHERN DELAWARE FOOT & ANKLE LLC
Active
Organization
SOUTHERN DELAWARE FOOT & ANKLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY T LEMON DPM (OWNER)
(302) 629-3000
Entity
Organization
Contact information
Practice address
543 N SHIPLEY ST, SUITE C, SEAFORD, DE 19973-2339
(302) 629-3000
(302) 629-3080
Mailing address
PO BOX 772, SEAFORD, DE 19973-0772
(302) 629-3613
(302) 629-2384
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E1-0000121
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000025919
—
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
—
8699345001
CIGNA
DE
01
—
P00062710
RAILROAD MEDICARE
DE
Enumeration date
02/09/2007
Last updated
04/26/2011
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