MEDICARE: TIFFANI DAWN LEMEN 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	207Q00000X	Family Medicine Physician	MD24139	ME
2	207Q00000X	Family Medicine Physician	84912	SC
3	207Q00000X	Family Medicine Physician	01084616A	IN
4	207Q00000X	Family Medicine Physician	54279	KY
5	207Q00000X	Family Medicine Physician	285704	MA
6	207Q00000X	Family Medicine Physician	MD.41530	AL
7	207Q00000X	Family Medicine Physician	66797	CT
8	207Q00000X	Family Medicine Physician	146700	FL
9	207Q00000X	Family Medicine Physician	86957	GA
10	207Q00000X	Family Medicine Physician	D0090176	MD
11	207Q00000X	Family Medicine Physician	2020-04043	NC
12	207Q00000X	Family Medicine Physician	MD438574	PA
13	207Q00000X	Family Medicine Physician	4301502913	MI
14	207Q00000X	Family Medicine Physician	28198	MS
15	207Q00000X	Family Medicine Physician	C1-0023955	DE

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	:	1760651210
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIFFANI DAWN LEMEN M.D.

Provider Business Mailing Address
First Line	:	36825 GROVE ESTATE RD
Second Line	:
City	:	LEWES
State	:	DE
Zip	:	19958-2757
Country	:	US
Telephone Number	:	304-546-7595
Fax Number	:

Provider Business Practice Location Address
First Line	:	36825 GROVE ESTATE RD
Second Line	:
City	:	LEWES
State	:	DE
Zip	:	19958-2757
Country	:	US
Telephone Number	:	304-546-7595
Fax Number	:

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

Provider Enumeration Date	:	02/28/2008
Last Update Date	:	03/08/2023

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