Individual
MR. RICKY ERNESTO LEMUS ZAMORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 WEST MICHIGAN STREET, CL 630, INDIANAPOLIST, IN 46202
(317) 278-2682
Mailing address
1120 WEST MICHIGAN STREET, CL 630, INDIANAPOLIST, IN 46202
(317) 278-2682
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/27/2023
Last updated
07/19/2023
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