Individual
MARK LEMONS
Active
Individual
MARK LEMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
J4891
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122347105
—
TX
05
—
200097460A
—
OK
01
—
8G1541
BCBSTX
TX
Enumeration date
04/19/2006
Last updated
10/26/2007
Update your record
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