Individual
JASON R LEMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
9880 ANGIES WAY, SUITE 250, LOUISVILLE, KY 40241-2851
(502) 394-6340
(502) 394-6340
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA467
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000327353
ANTHEM / NCMA
KY
01
—
000028412G
HUMANA / NCMA
KY
01
—
040479
SIHO / NCMA
KY
01
—
1205913
CHA / NCMA
KY
01
—
2446855000
PASSPORT ADVANTAGE / NCMA
KY
01
—
50005551
PASSPORT / NCMA
KY
05
—
95003331
—
KY
Enumeration date
04/18/2006
Last updated
08/05/2016
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