NPI | 1548338353 |
---|---|
Former Name | LISA D LEMLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9113789) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: KY PA1116) |
363A00000X Physician Assistant (Licence: OH 50.002146RX) | |
Enumeration Date | 2006-12-01 |
Last Update Date | 2021-04-22 |