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Individual

ROGER D. LEMMEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
360 N MAIN ST, SUITE E, BLUFFTON, IN 46714-2041
(260) 353-3375
(260) 353-3377
Mailing address
360 N MAIN ST, SUITE E, BLUFFTON, IN 46714-2041
(260) 353-3375
(260) 353-3377

Taxonomy

Speciality
Code
Description
License number
State
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
Primary
01064091A
IN
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
4301046711
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200917750
IN
05
3374917
MI
Enumeration date
11/09/2006
Last updated
02/04/2013
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