Healthcare Provider Details

I. General information

NPI: 1861311367
Provider Name (Legal Business Name): CHRISTOPHER THOMAS LEMIEUX
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

971 W WILLIAMS AVE
FALLON NV
89406-2631
US

IV. Provider business mailing address

2277 SODA LAKE RD
FALLON NV
89406-6317
US

V. Phone/Fax

Practice location:
  • Phone: 775-426-9871
  • Fax: 775-431-2992
Mailing address:
  • Phone: 775-426-9871
  • Fax: 775-431-2992

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: