Individual
DR. KEITH M LEMIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
741 BROAD ST EXT, WATERFORD, CT 06385
(860) 442-5663
(860) 444-7778
Mailing address
741 BROAD ST EXT, WATERFORD, CT 06385
(860) 442-5663
(860) 444-7778
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
002391
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410045811
RR MEDICARE
CT
Enumeration date
05/01/2006
Last updated
10/26/2010
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