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NPI Code Detail

MEDICARE: DR. LELAND LAFAYETTE LEMON II DC

MEDICARE: DR. LELAND LAFAYETTE LEMON II DC
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
1111N00000XChiropractor2177AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1051536447OTHERALBCBSAL

General Provider Information

NPI Number : 1205926615
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LELAND LAFAYETTE LEMON II DC
Provider Business Mailing Address
First Line : PO BOX 241467
Second Line :
City : MONTGOMERY
State : AL
Zip : 36124-1467
Country : US
Telephone Number : 334-356-1111
Fax Number : 334-356-9873
Provider Business Practice Location Address
First Line : 3283 MALCOLM DR
Second Line :
City : MONTGOMERY
State : AL
Zip : 36116-8816
Country : US
Telephone Number : 334-356-1111
Fax Number : 334-356-9873
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2006
Last Update Date : 04/01/2008

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