MEDICARE: STANLEY MONCRIEF LEMON 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	207RI0200X	Infectious Disease Physician	20033	NC
2	207RI0200X	Infectious Disease Physician	L5636	TX

General Provider Information

NPI Number	:	1710289442
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STANLEY MONCRIEF LEMON M.D.

Provider Business Mailing Address
First Line	:	8.034 BURNETT-WOMACK CB 7292
Second Line	:	UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL
City	:	CHAPEL HILL
State	:	NC
Zip	:	27599-7292
Country	:	US
Telephone Number	:	919-843-1848
Fax Number	:	919-843-7240

Provider Business Practice Location Address
First Line	:	8.034 BURNETT-WOMACK CB 7292
Second Line	:	UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL
City	:	CHAPEL HILL
State	:	NC
Zip	:	27599-7292
Country	:	US
Telephone Number	:	919-843-1848
Fax Number	:	919-843-7240

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

Provider Enumeration Date	:	12/01/2010
Last Update Date	:	12/01/2010

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