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NPI Code Detail

MEDICARE: CARA ANNE LEMMON

MEDICARE: CARA ANNE LEMMON
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
12255A2300XAthletic Trainer
2363A00000XPhysician Assistant

General Provider Information

NPI Number : 1831582949
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARA ANNE LEMMON
Provider Business Mailing Address
First Line : 677 CATHEDRAL DR
Second Line :
City : RAPID CITY
State : SD
Zip : 57701-6018
Country : US
Telephone Number : 605-755-6720
Fax Number :
Provider Business Practice Location Address
First Line : 677 CATHEDRAL DR
Second Line :
City : RAPID CITY
State : SD
Zip : 57701-6018
Country : US
Telephone Number : 605-755-6720
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2015
Last Update Date : 01/01/2025

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Directions to “ CARA ANNE LEMMON ” Practice Location

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