Individual
DONALD W LEMOINE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4 MEMORIAL DRIVE, STE 130B, ALTON, IL 62002-4707
(618) 463-7600
(618) 463-7601
Mailing address
670 MASON RIDGE CENTER DR, STE 300, SAINT LOUIS, MO 63141-8573
(618) 463-7600
(618) 463-7601
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
102535
MO
363AS0400X
Surgical Physician Assistant
Primary
085000615
IL
Other
Enumeration date
03/08/2007
Last updated
11/11/2015
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