MEDICARE: LEXY STEMIG

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	390200000X	Student in an Organized Health Care Education/Training Program		MN

General Provider Information

NPI Number	:	1376419838
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEXY STEMIG

Provider Business Mailing Address
First Line	:	1244 EDGE WAY
Second Line	:
City	:	JORDAN
State	:	MN
Zip	:	55352-6022
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5218 E TERRACE DR
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53718-8340
Country	:	US
Telephone Number	:	608-807-1909
Fax Number	:

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

Provider Enumeration Date	:	10/13/2025
Last Update Date	:	10/13/2025

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Directions to “ LEXY STEMIG ” Practice Location

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