Individual
DOMONIQUE RASHIDA LEMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1550 COLLEGE ST, MACON, GA 31207-1500
(478) 301-5570
Mailing address
1550 COLLEGE ST, MACON, GA 31207-1500
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/01/2011
Last updated
09/01/2011
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