Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 4301086038 | MI |
NPI | 1023217064 |
---|---|
Provider Name | Dr. Lori Ann Lemonnier |
First Address | Traverse City, MI 49684-3236 |
Second Address | Traverse City, MI 49684-3236 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2007 |
Last Update Date | 21/07/2021 |