MEDICARE: DR. ANTHONY DEWAYNE LEMING D.C.

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	111N00000X	Chiropractor	2216	OK

General Provider Information

NPI Number	:	1497959217
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTHONY DEWAYNE LEMING D.C.

Provider Business Mailing Address
First Line	:	PO BOX 610
Second Line	:
City	:	LONE GROVE
State	:	OK
Zip	:	73443-0610
Country	:	US
Telephone Number	:	580-657-6664
Fax Number	:	580-657-6663

Provider Business Practice Location Address
First Line	:	HWY 70 W.
Second Line	:
City	:	LONE GROVE
State	:	OK
Zip	:	73443
Country	:	US
Telephone Number	:	580-657-6664
Fax Number	:	580-657-6663

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

Provider Enumeration Date	:	06/14/2007
Last Update Date	:	07/08/2007

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