Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | E3135 | CA |
Y | 222Z00000X | Podiatrist | E3135 | CA |
N | 213EP1101X | Primary Podiatric Medicine | E3135 | CA |
NPI | 1275636557 |
---|---|
Provider Name | Dr. Thomas Adrain Lemmer |
First Address | Santa Cruz, CA 95065-1644 |
Second Address | Soquel, CA 95073-2473 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/09/2006 |
Last Update Date | 18/05/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T11568 | (02) | CA |