Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 036147633 | IL |
N | 204F00000X | Transplant Surgeon | MD 459212 | PA |
N | 208200000X | Surgeon | 036147633 | IL |
N | 208600000X | Surgeon | 036147633 | IL |
NPI | 1285182949 |
---|---|
Provider Name | Dr. Kristina Honor Kathleen Lemon |
First Address | Cincinnati, OH 45263-6256 |
Second Address | Maywood, IL 60153-3328 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/09/2016 |
Last Update Date | 11/08/2020 |