Healthcare Provider Details

I. General information

NPI: 1457021859
Provider Name (Legal Business Name): LINDSEY MICHELLE LEMMON CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2021
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3115 W MARKET ST
FAIRLAWN OH
44333-3301
US

IV. Provider business mailing address

3115 W MARKET ST
FAIRLAWN OH
44333-3301
US

V. Phone/Fax

Practice location:
  • Phone: 234-260-4456
  • Fax: 234-466-4385
Mailing address:
  • Phone: 234-260-4456
  • Fax: 234-466-4385

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPRN.CNP.0028294
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: