Individual
DR. CHRISTOPHER M LEMELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 CHILDRENS WAY # 653, LITTLE ROCK, AR 72202-3500
(501) 364-1100
Mailing address
1 CHILDRENS WAY # 653, LITTLE ROCK, AR 72202-3500
(501) 364-1100
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
E-10932
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171135002
—
TX
01
—
171135003
MEDICAID - CSHCN
TX
01
—
8CW434
BCBS
TX
Enumeration date
09/07/2006
Last updated
10/09/2017
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