Individual
STACEY LEMMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
KAYENTA HEALTH CENTER, 394.3 US-160, KAYENTA, AZ 86033-4974
(928) 697-4000
Mailing address
PO BOX 4974, KAYENTA, AZ 86033-4974
(928) 697-4000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
87263
GA
390200000X
Student in an Organized Health Care Education/Training Program
TRN24679
FL
Other
Enumeration date
07/07/2017
Last updated
01/21/2021
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