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Individual

JOSEPH E LEMLEK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O., F.A.C.C.

Contact information

Practice address
630 S HILLSIDE ST, WICHITA, KS 67211-2157
(316) 616-2020
(316) 616-2007
Mailing address
PO BOX 47624, WICHITA, KS 67201-7624
(316) 491-5926
(316) 491-5962

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
126831
KS
207RI0011X
Interventional Cardiology Physician
31373
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100360830D
KS
05
100360830F
KS
01
106036
BLUE CROSS BLUE SHIELD
KS
01
P00370457
RAILROAD MEDICARE
KS
Enumeration date
12/06/2006
Last updated
10/23/2009
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