Individual
MICHAEL LYNN LEMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3200 CHANNING WAY STE 206, IDAHO FALLS, ID 83404-7546
(208) 529-2230
(208) 453-6142
Mailing address
PO BOX 277381, ATLANTA, GA 30384-7381
Taxonomy
Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
O-0717
ID
208600000X
Surgery Physician
12895C
WY
208600000X
Surgery Physician
88821
MT
208600000X
Surgery Physician
O-0717
ID
2086S0127X
Trauma Surgery Physician
Primary
O-0717
ID
Other
Enumeration date
05/29/2008
Last updated
06/04/2024
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