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Individual

AMBER LEMMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
602 VONDERBURG DR, SUITE 201, BRANDON, FL 33511-5900
(813) 653-1149
(813) 654-6644
Mailing address
602 VONDERBURG DR, SUITE 201, BRANDON, FL 33511-5900
(813) 653-1149
(813) 654-6644

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
22004918A
IN
235Z00000X
Speech-Language Pathologist
Primary
SA 11372
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
019346700
FL
Enumeration date
01/26/2012
Last updated
12/13/2016
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