Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 036-104109 | IL |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | 036104109 | IL |
NPI | 1396716080 |
---|---|
Provider Name | Laura M Lemke |
First Address | Chicago, IL 60611-2991 |
Second Address | Chicago, IL 60611-2991 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2006 |
Last Update Date | 31/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036104109 | (05) | IL |
200045397 | RAILROAD MEDICARE (01) | |
CF2064 | RAILROAD GROUP (01) | IL |
H40173 | (02) |