MEDICARE: JONSON Y LEMMA

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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1689219958
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JONSON Y LEMMA

Provider Business Mailing Address
First Line	:	2116 CALLINGWOOD DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78754-5946
Country	:	US
Telephone Number	:	512-669-3951
Fax Number	:

Provider Business Practice Location Address
First Line	:	2116 CALLINGWOOD DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78754-5946
Country	:	US
Telephone Number	:	512-669-3951
Fax Number	:

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

Provider Enumeration Date	:	11/11/2019
Last Update Date	:	11/14/2024

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