Individual
JACK DOUGLAS LEMKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3597 EASTERN DR, BEAVERCREEK, OH 45432-2205
(937) 232-7412
Mailing address
3597 EASTERN DR, BEAVERCREEK, OH 45432-2205
(937) 232-7412
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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