Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 240934 | NY |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 240934 | NY |
NPI | 1194760488 |
---|---|
Provider Name | Frederick R. Lemley |
First Address | Syracuse, NY 13214-1880 |
Second Address | Syracuse, NY 13214-1880 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2006 |
Last Update Date | 06/04/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I27653 | (02) | OH |