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NPI Code Detail

MEDICARE: MICHELLE LEMKE, PC

MEDICARE: MICHELLE LEMKE, PC
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
1101YM0800XMental Health Counselor935NE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093086969
Entity Type Code : Organization
Provider Name (Legal Business Name) : MICHELLE LEMKE, PC
Provider Business Mailing Address
First Line : 942 N 13TH ST
Second Line :
City : GENEVA
State : NE
Zip : 68361-1218
Country : US
Telephone Number : 402-759-3802
Fax Number : 402-759-3803
Provider Business Practice Location Address
First Line : 942 N 13TH ST
Second Line :
City : GENEVA
State : NE
Zip : 68361-1218
Country : US
Telephone Number : 402-759-3802
Fax Number : 402-759-3803
Authorized Official
Title or Position : PRESIDENT
Name : JOCELYN MICHELLE LEMKE
Credential : MA, LIMHP, LPC
Telephone Number : 402-759-3802
Provider Enumeration Date : 01/24/2012
Last Update Date : 01/24/2012

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