Healthcare Provider Details

I. General information

NPI: 1013823400
Provider Name (Legal Business Name): ANN BAILY LEMLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3640 COLONEL GLENN HWY
DAYTON OH
45435-0001
US

IV. Provider business mailing address

3801 HIGHLAND AVE
SHADYSIDE OH
43947-1316
US

V. Phone/Fax

Practice location:
  • Phone: 740-671-5498
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: