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NPI Code Detail

MEDICARE: JACQUELINE LEMUS

MEDICARE: JACQUELINE LEMUS
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
1163W00000XRegistered NurseRN.529547OH

General Provider Information

NPI Number : 1720935687
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACQUELINE LEMUS
Provider Business Mailing Address
First Line : 2054 S GREEN RD
Second Line :
City : SOUTH EUCLID
State : OH
Zip : 44121-4213
Country : US
Telephone Number : 216-291-9210
Fax Number : 216-373-3101
Provider Business Practice Location Address
First Line : 2054 S GREEN RD
Second Line :
City : SOUTH EUCLID
State : OH
Zip : 44121-4213
Country : US
Telephone Number : 216-291-9210
Fax Number : 216-373-3101
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2026
Last Update Date : 03/11/2026

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Directions to “ JACQUELINE LEMUS ” Practice Location

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