Individual
GREGORY KEITH LEMOINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1232 RACE RD STE 203, ROSEDALE, MD 21237-2376
(410) 918-0080
(410) 918-0050
Mailing address
1232 RACE RD STE 203, ROSEDALE, MD 21237-2376
(410) 918-0080
(410) 918-0050
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20651
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E705-0004
FEDERAL BLUECROSS/SHIELD
MD
01
—
LV17
CAREFIRST BLUECROSS/SHIEL
MD
Enumeration date
05/04/2006
Last updated
09/27/2021
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