Healthcare Provider Details

I. General information

NPI: 1578561437
Provider Name (Legal Business Name): PATRICIA LEMMER CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2005
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

835 SWEITZER ST
GREENVILLE OH
45331-1007
US

IV. Provider business mailing address

2914 S REPUBLIC BLVD
TOLEDO OH
43615-1912
US

V. Phone/Fax

Practice location:
  • Phone: 937-547-5723
  • Fax: 937-547-5784
Mailing address:
  • Phone: 419-531-8808
  • Fax: 419-531-9342

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number105192
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: