MEDICARE: DR. GREGORY PAUL LEMENSE MD

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	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	21022	TN
2	207RP1001X	Pulmonary Disease Physician	21022	TN
3	207RS0012X	Sleep Medicine (Internal Medicine) Physician	21022	TN
4	207RP1001X	Pulmonary Disease Physician	MED-PHYS-LIC-70455	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912904483
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GREGORY PAUL LEMENSE MD

Provider Business Mailing Address
First Line	:	915 HIGHLAND BLVD
Second Line	:
City	:	BOZEMAN
State	:	MT
Zip	:	59715-6902
Country	:	US
Telephone Number	:	406-414-4250
Fax Number	:	406-414-4259

Provider Business Practice Location Address
First Line	:	3905 WELLNESS WAY STE 3B
Second Line	:
City	:	BOZEMAN
State	:	MT
Zip	:	59718-2402
Country	:	US
Telephone Number	:	406-414-4250
Fax Number	:

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

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	04/10/2025

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