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NPI Code Detail

MEDICARE: MICHELLE L. LEMON P.T.

MEDICARE: MICHELLE L. LEMON P.T.
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
1225100000XPhysical TherapistPT011913OH

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 : 1992986822
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE L. LEMON P.T.
Provider Business Mailing Address
First Line : 2275 COLLINGWOOD BLVD
Second Line :
City : TOLEDO
State : OH
Zip : 43620-1100
Country : US
Telephone Number : 419-245-4150
Fax Number : 419-246-3119
Provider Business Practice Location Address
First Line : 2275 COLLINGWOOD BLVD
Second Line :
City : TOLEDO
State : OH
Zip : 43620-1100
Country : US
Telephone Number : 419-245-4150
Fax Number : 419-246-3119
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2007
Last Update Date : 11/05/2019

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