MEDICARE: DR. GUY GERARD LEMIRE M.D.

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	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	A31562	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689632614
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GUY GERARD LEMIRE M.D.

Provider Business Mailing Address
First Line	:	5122 MARINA PACIFICA DR S # 18
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90803-3822
Country	:	US
Telephone Number	:	562-972-1998
Fax Number	:	562-286-8047

Provider Business Practice Location Address
First Line	:	5122 MARINA PACIFICA DR S # 18
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90803-3822
Country	:	US
Telephone Number	:	562-972-1998
Fax Number	:	562-286-8047

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

Provider Enumeration Date	:	05/01/2006
Last Update Date	:	11/12/2015

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