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General NPI Number Information
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NPI Number | 1265727333
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Entity Type | Individual
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Provider Name | MICHAEL STEVEN MCLEMORE MD
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Gender | Male
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Dates
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Enumeration Date | 06/16/2011
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Last Update Date | 01/26/2023
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Provider Practice Location Address
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Address Line | 2220 N SCREENLAND DR STE 101
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City | BURBANK
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State | CA
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Zip | 91505-1137
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Country | US
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Telephone | 323-935-8800
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Fax |
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Provider Business Mailing Address
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Address Line | 54 NEW HYDE PARK RD
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City | GARDEN CITY
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State | NY
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Zip | 11530-3909
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Country | US
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Telephone | 516-488-1313
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Fax | 516-488-1368
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ND0900X
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Taxonomy Name | Dermatopathology Physician
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License Number | A127019
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License Number State | CA
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