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Individual

MICHAEL LEMMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
7550 W EMERALD ST, BOISE, ID 83704-9015
(208) 476-9365
(208) 476-9366
Mailing address
1005 MICHIGAN AVENUE, OROFINO, ID 83544-2546
(208) 476-9365
(208) 476-9366

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4175
ID

Other

Enumeration date
09/16/2015
Last updated
09/16/2015
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