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NPI Code Detail

MEDICARE: MICHAEL LEMON MD

MEDICARE: MICHAEL LEMON MD
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
1208000000XPediatrics Physician35.054374OH
22084P0804XChild & Adolescent Psychiatry Physician35-054374OH

Other Identifiers

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

General Provider Information

NPI Number : 1801884689
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL LEMON MD
Provider Business Mailing Address
First Line : 970 W WOOSTER ST RM 130
Second Line :
City : BOWLING GREEN
State : OH
Zip : 43402-2652
Country : US
Telephone Number : 419-352-6890
Fax Number :
Provider Business Practice Location Address
First Line : 970 W WOOSTER ST RM 130
Second Line :
City : BOWLING GREEN
State : OH
Zip : 43402-2652
Country : US
Telephone Number : 419-352-6890
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2005
Last Update Date : 03/12/2026

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Directions to “ MICHAEL LEMON MD” Practice Location

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