Individual
GARY W LEMMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1801 N SENATE BLVD STE D-3500, INDIANAPOLIS, IN 46202-1228
(317) 962-0280
(317) 962-0289
Mailing address
1801 N SENATE BLVD STE D-3500, INDIANAPOLIS, IN 46202-1228
(317) 962-0280
(317) 962-0289
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
01030375A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200016490
—
IN
Enumeration date
04/26/2006
Last updated
11/06/2012
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