Individual
PETER LEMKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
110 MED TECH PKWY, SUITE 1, JOHNSON CITY, TN 37604-4004
(423) 929-2111
(423) 929-0497
Mailing address
110 MED TECH PKWY, SUITE 1, JOHNSON CITY, TN 37604-4004
(423) 929-2111
(423) 929-0497
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD2144
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3944958
—
TN
Enumeration date
05/01/2006
Last updated
01/31/2008
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