Individual
LEMLEM W PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1828 AUSTIN WAY, SANTA ROSA, CA 95404-3608
(707) 758-7362
(707) 408-2083
Mailing address
1828 AUSTIN WAY, SANTA ROSA, CA 95404-3608
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
767996
CA
363L00000X
Nurse Practitioner
Primary
95016614
CA
Other
Enumeration date
11/20/2012
Last updated
07/09/2026
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