Individual
ROBERT LEMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
66051
WI
207L00000X
Anesthesiology Physician
BM6733807-Q142
GA
208600000X
Surgery Physician
4301100889
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609121623
—
WI
Enumeration date
07/16/2012
Last updated
08/05/2019
Update your record
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