Healthcare Provider Details

I. General information

NPI: 1871550822
Provider Name (Legal Business Name): DAWN LEMANNE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 04/16/2025
Certification Date: 12/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

149 CLEAR CREEK DR. #110
ASHLAND OR
97520
US

IV. Provider business mailing address

149 CLEAR CREEK DR. #110
ASHLAND OR
97520
US

V. Phone/Fax

Practice location:
  • Phone: 541-488-6261
  • Fax: 877-992-9708
Mailing address:
  • Phone: 541-488-6261
  • Fax: 877-992-9708

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number20166
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: