Individual
ELIZABETH MCLEMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD393
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447216569
PERSONAL NPI
HI
01
—
1962772293
GROUP NPI
HI
01
—
82-2342939
TAX ID
HI
Enumeration date
04/26/2006
Last updated
03/17/2018
Update your record
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