Individual
DR. BERNARD EDGAR LEMKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., M.A.
Contact information
Practice address
242 HOSPITAL DR, SUITE A, UKIAH, CA 95482-4556
(707) 468-8944
(707) 468-9685
Mailing address
242 HOSPITAL DR, SUITE A, UKIAH, CA 95482-4556
(707) 468-8944
(707) 468-9685
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G38871
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G388710
—
CA
01
—
05D1000823
CLIA #
CA
01
—
RHC160592
RADIATION PERMIT
CA
Enumeration date
12/14/2005
Last updated
07/08/2007
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