Individual
TARA JACKSON LEMOINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 224-4635
(540) 985-9099
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0102208200
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003111892A
—
GA
01
—
618879
WELLCARE
GA
05
—
GA1252
—
SC
01
—
P00999566
RAILROAD MEDICARE
GA
Enumeration date
09/26/2007
Last updated
10/19/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us