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Individual

DR. EDWARD LEMON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD PA

Contact information

Practice address
267 MAIN ST, BARNWELL, SC 29812-1849
(803) 259-2020
(803) 259-3621
Mailing address
PO BOX 405, BARNWELL, SC 29812-0405
(803) 259-2020
(803) 259-3621

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
746
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
DO7464
SC
Enumeration date
12/19/2005
Last updated
03/07/2011
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