Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 2004-00228 | NC |
N | 2086S0105X | Surgery of the Hand | 2004-00228 | NC |
NPI | 1114920519 |
---|---|
Provider Name | Mark Steven Lemel |
First Address | Charlotte, NC 28260-2373 |
Second Address | Brevard, NC 28712-3897 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2005 |
Last Update Date | 28/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2023193D | MEDICARE PTAN (01) | NC |