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NPI Code Detail

MEDICARE: VICTORIA ANN LEMIRE LMFT

MEDICARE:   VICTORIA ANN LEMIRE  LMFT
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
1106H00000XMarriage & Family Therapist35001584AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000575211OTHERINBLUE CROSS BLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578724472
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA ANN LEMIRE LMFT
Provider Business Mailing Address
First Line : 3705 W HOWARD CITY EDMORE RD
Second Line :
City : SIX LAKES
State : MI
Zip : 48886-9728
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3705 W HOWARD CITY EDMORE RD
Second Line :
City : SIX LAKES
State : MI
Zip : 48886-9728
Country : US
Telephone Number : 713-503-4418
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2008
Last Update Date : 09/20/2011

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Directions to “ VICTORIA ANN LEMIRE LMFT” Practice Location

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