Healthcare Provider Details

I. General information

NPI: 1366403263
Provider Name (Legal Business Name): STEPHEN F LEMONS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: STEPHEN FRANKLIN LEMONS MD

II. Dates (important events)

Enumeration Date: 03/30/2006
Last Update Date: 05/11/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

308 E CENTRAL AVE
ANDOVER KS
67002-8897
US

IV. Provider business mailing address

308 E CENTRAL AVE
ANDOVER KS
67002-8897
US

V. Phone/Fax

Practice location:
  • Phone: 316-733-1331
  • Fax: 316-733-4916
Mailing address:
  • Phone: 316-733-1331
  • Fax: 316-733-4916

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number04-20165
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: