MEDICARE: RENEE LEMM PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	PA01099	TX

General Provider Information

NPI Number	:	1225139694
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RENEE LEMM PA

Provider Business Mailing Address
First Line	:	PO BOX 9763
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77387-6763
Country	:	US
Telephone Number	:	936-443-8460
Fax Number	:	866-936-4875

Provider Business Practice Location Address
First Line	:	117 VISION PARK BLVD
Second Line	:
City	:	SHENANDOAH
State	:	TX
Zip	:	77384-3001
Country	:	US
Telephone Number	:	936-443-8460
Fax Number	:	866-936-4875

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	08/26/2015

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Directions to “ RENEE LEMM PA” Practice Location

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