Individual
JOHN LEMEN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1030 FORREST AVE, DOVER, DE 19904-3314
(302) 268-8880
Mailing address
255 AVONBRIDGE DR, TOWNSEND, DE 19734-2868
(302) 494-5738
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J10001982
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000037866
—
DE
01
—
11741834
CAQH
—
01
—
1598815128
CHAMPUS TRICARE
—
01
—
246555
MAMSI
—
01
—
2851044000
AMERIHEALTH IBC
—
01
—
5070-0060
CARE FIRST
—
01
—
88760501
CARE FIRST
—
Enumeration date
06/13/2006
Last updated
01/05/2023
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