Individual
DR. MARK JASON LEMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
41 MALL RD, LAHEY CLINIC, INC., BURLINGTON, MA 01805-0001
(781) 744-8692
Mailing address
1 ESSEX CENTER DR, PEABODY, MA 01960-2901
(978) 538-4270
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
75285
MA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
75285
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110050983A
—
MA
Enumeration date
10/02/2006
Last updated
06/18/2019
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