Individual
BETHANY S LEMMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1155 W PARKVIEW ST STE 1G, BOLIVAR, MO 65613-8597
(417) 326-8700
(417) 777-8173
Mailing address
PO BOX 505673, SAINT LOUIS, MO 63150-5673
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2009004297
MO
Other
Enumeration date
03/05/2009
Last updated
08/16/2024
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