Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | ME0073879 | FL |
NPI | 1043376395 |
---|---|
Provider Name | Dr. Michele L Lemay |
First Address | Bradenton, FL 34208-1145 |
Second Address | Bradenton, FL 34208-1145 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/12/2006 |
Last Update Date | 14/12/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F50432 | (02) | FL |