MEDICARE: DONALD W LEMOINE II PA-C

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	363A00000X	Physician Assistant	102535	MO
2	363AS0400X	Surgical Physician Assistant	085000615	IL

General Provider Information

NPI Number	:	1407987829
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONALD W LEMOINE II PA-C

Provider Business Mailing Address
First Line	:	670 MASON RIDGE CENTER DR
Second Line	:	STE 300
City	:	SAINT LOUIS
State	:	MO
Zip	:	63141-8573
Country	:	US
Telephone Number	:	618-463-7600
Fax Number	:	618-463-7601

Provider Business Practice Location Address
First Line	:	4 MEMORIAL DRIVE
Second Line	:	STE 130B
City	:	ALTON
State	:	IL
Zip	:	62002-4707
Country	:	US
Telephone Number	:	618-463-7600
Fax Number	:	618-463-7601

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

Provider Enumeration Date	:	03/08/2007
Last Update Date	:	11/11/2015

Similar Medicare Providers

1770582157 — ALTON ORTHOPEDIC CLINIC, LTD
Practice Location Address:

2710 COLLEGE AVE
ALTON, IL
62002-4707

Practice Phone: 618-462-1201
Practice Fax: 618-462-0744

1730250051 — DR. MICHAEL M TAYLOR M.D.
Practice Location Address:

4 MEMORIAL DRIVE , STE 130B
ALTON, IL
62002-4707

Practice Phone: 618-463-7600
Practice Fax: 618-463-7601

1548333784 — DR. JOHN E STIRNAMAN M.D.
Practice Location Address:

4 MEMORIAL DRIVE , STE 130B
ALTON, IL
62002-4707

Practice Phone: 618-463-7600
Practice Fax: 618-463-7601

1255839643 — GLOBAL THERAPY INC
Practice Location Address:

2710 COLLEGE AVE STE F
ALTON, IL
62002-4707

Practice Phone: 618-530-7462
Practice Fax:

1821618760 — DR. OLUFUNMILOLA AJALA MD
Practice Location Address:

1 MEMORIAL DR
ALTON, IL
62002-6722

Practice Phone: 618-463-7240
Practice Fax: 618-463-7216

1518545698 — CLOTRETTA GREEN MSW,LSW
Practice Location Address:

2615 EDWARDS ST
ALTON, IL
62002-3915

Practice Phone: 618-462-2331
Practice Fax: 618-462-7160

Directions to “ DONALD W LEMOINE II PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.