Individual
VIDA A. LEMAIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2026 N BROAD ST, LANSDALE, PA 19446-1004
(215) 368-4434
(215) 361-7579
Mailing address
10 MEADOWOOD DR, LANGHORNE, PA 19047-2858
(215) 809-8606
(215) 361-7579
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
SP012667
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
26NJ00519500
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP027016
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP012667
MED. LIC. NUMBER
PA
01
—
SP027016
NP PSYCH/MENTAL HEALTH
PA
Enumeration date
05/06/2013
Last updated
08/20/2025
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