MEDICARE: GUY G LEMIRE MD INC

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
1	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	A31562	CA

General Provider Information

NPI Number	:	1093018350
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GUY G LEMIRE MD INC

Provider Business Mailing Address
First Line	:	PO BOX 6179
Second Line	:
City	:	LOS ALAMITOS
State	:	CA
Zip	:	90721-6179
Country	:	US
Telephone Number	:	562-972-1998
Fax Number	:	562-286-8047

Provider Business Practice Location Address
First Line	:	5122 MARINA PACIFICA DR S
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90803-3822
Country	:	US
Telephone Number	:	562-972-1998
Fax Number	:	562-286-8047

Authorized Official
Title or Position	:	SURGEON
Name	:	DR. GUY GERARD LEMIRE
Credential	:	MD
Telephone Number	:	562-972-1998

Provider Enumeration Date	:	12/08/2010
Last Update Date	:	03/08/2016

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