Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD044263 | DC |
Y | 2080P0202X | Pediatric Cardiologist | MD470540 | PA |
N | 2080P0202X | Pediatric Cardiologist | MT212586 | PA |
NPI | 1013352657 |
---|---|
Provider Name | Bethan Amelia Lemley |
First Address | Philadelphia, PA 19104-4319 |
Second Address | Philadelphia, PA 19104-4319 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2013 |
Last Update Date | 02/02/2021 |