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NPI Code Detail

MEDICARE: DR. LORI ANN LEMONNIER M.D.

MEDICARE: DR. LORI ANN LEMONNIER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Y00000XOtolaryngology Physician4301086038MI

General Provider Information

NPI Number : 1023217064
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LORI ANN LEMONNIER M.D.
Provider Business Mailing Address
First Line : 1104 CASS ST
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49684-3236
Country : US
Telephone Number : 231-914-1155
Fax Number : 231-259-1005
Provider Business Practice Location Address
First Line : 1104 CASS ST
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49684-3236
Country : US
Telephone Number : 231-941-1155
Fax Number : 231-259-1005
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2007
Last Update Date : 08/01/2024

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