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Individual

DR. RICARDO J LEMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
611 W PARK ST, URBANA, IL 61801-2500
(217) 383-3088
Mailing address
611 W PARK ST, FAPC, URBANA, IL 61801-2500

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036103162
IL
2080P0203X
Pediatric Critical Care Medicine Physician
036103162
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036103162
IL
Enumeration date
05/18/2006
Last updated
08/31/2020
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