Individual
DEON J LEMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ST
Contact information
Practice address
6040 LUTE RD, PORTAGE, IN 46368-5008
(219) 763-6858
(219) 763-4858
Mailing address
436 OAK BREEZE DR, VALPARAISO, IN 46383-9318
(219) 548-8245
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22002867A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22002867A
ST
IN
Enumeration date
07/17/2007
Last updated
07/17/2007
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