Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | PT 14285 | ND |
Y | 208600000X | Surgeon | PT 14285 | ND |
N | 2086S0102X | Surgical Critical Care | PT 14285 | ND |
NPI | 1154647816 |
---|---|
Provider Name | Ashley Melissa Lemere |
First Address | Williston, ND 58801-4091 |
Second Address | Williston, ND 58801-3821 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2010 |
Last Update Date | 23/08/2016 |