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NPI Code Detail

MEDICARE: DOMONIQUE RASHIDA LEMON

MEDICARE: DOMONIQUE RASHIDA LEMON
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1891076030
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOMONIQUE RASHIDA LEMON
Provider Business Mailing Address
First Line : 1550 COLLEGE ST
Second Line :
City : MACON
State : GA
Zip : 31207-1500
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1550 COLLEGE ST
Second Line :
City : MACON
State : GA
Zip : 31207-1500
Country : US
Telephone Number : 478-301-5570
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2011
Last Update Date : 09/01/2011

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Directions to “ DOMONIQUE RASHIDA LEMON ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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