MEDICARE: DR. DAVID K 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	207RC0000X	Cardiovascular Disease Physician	MD-18994	IA
2	207UN0901X	Nuclear Cardiology Physician	MD-18994	IA

General Provider Information

NPI Number	:	1801881917
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID K LEMON M.D.

Provider Business Mailing Address
First Line	:	PO BOX 424
Second Line	:
City	:	DES MOINES
State	:	IA
Zip	:	50302-0424
Country	:	US
Telephone Number	:	515-875-9255
Fax Number	:	515-875-9223

Provider Business Practice Location Address
First Line	:	5950 UNIVERSITY AVE STE 231
Second Line	:
City	:	WEST DES MOINES
State	:	IA
Zip	:	50266-8233
Country	:	US
Telephone Number	:	515-875-9090
Fax Number	:	515-875-9312

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

Provider Enumeration Date	:	09/14/2005
Last Update Date	:	01/02/2024

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