MEDICARE: HENRY R LEMLEY MD

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	207P00000X	Emergency Medicine Physician	MD.30103	AL
2	207P00000X	Emergency Medicine Physician	01055909A	IN
3	207Q00000X	Family Medicine Physician	D0095415	MD
4	207Q00000X	Family Medicine Physician	MD.30103	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	511-03830	OTHER	AL	BCBS
2	511-03831	OTHER	AL	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	1366489528	OTHER	AL	TRICARE SOUTH
7	511-03832	OTHER	AL	BCBS
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	511-03833	OTHER	AL	BCBS
10	I32138	OTHER	AL	VIVA HEALTH

General Provider Information

NPI Number	:	1366489528
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HENRY R LEMLEY MD

Provider Business Mailing Address
First Line	:	333 WHITESPORT DR SW STE 300
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35801-3455
Country	:	US
Telephone Number	:	256-535-5945
Fax Number	:	833-941-4934

Provider Business Practice Location Address
First Line	:	333 WHITESPORT DR SW STE 300
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35801-3455
Country	:	US
Telephone Number	:	256-535-5945
Fax Number	:	833-941-4934

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2006
Last Update Date	:	02/05/2024

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Directions to “ HENRY R LEMLEY MD” Practice Location

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