Healthcare Provider Details

I. General information

NPI: 1235131434
Provider Name (Legal Business Name): MICHELLE RENE LEMBERGER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2005
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19550 E. 39TH STREET STE 300
INDEPENDENCE MO
64057
US

IV. Provider business mailing address

1621 W. MORRIS BLVD. SUITE A
KNOXVILLE TN
37909
US

V. Phone/Fax

Practice location:
  • Phone: 816-478-0220
  • Fax:
Mailing address:
  • Phone: 423-492-7100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number63750
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number105973
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: