Individual
DR. DAVID LEMONICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 E MURPHY AVE, CONNELLSVILLE, PA 15425-2724
(724) 628-1500
(724) 626-2334
Mailing address
2600 HORIZON DR SE, GRAND RAPIDS, MI 49546-3762
(616) 464-0027
(616) 975-9813
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
MD047254L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0013029820003
—
PA
01
—
58603
BLUE CROSS/BLUE SHIELD
PA
01
—
F34221
UPIN
PA
01
—
P00286240
RAILROAD
PA
Enumeration date
09/15/2006
Last updated
02/19/2009
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