Individual
MISS JACQUELINE R LEMON I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
12214 SE MILL PLAIN BLVD, SUITE 101, VANCOUVER, WA 98684-6019
(360) 944-1800
Mailing address
126 NW HOMEWARD AVE, STEVENSON, WA 98648-6639
(360) 597-8577
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MA 60486698
WA
Other
Enumeration date
09/08/2014
Last updated
09/08/2014
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