Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0201X | Pediatric Allergist | MD31769 | AL |
NPI | 1922155712 |
---|---|
Provider Name | Meghan Lemke |
First Address | Homewood, AL 35209-6802 |
Second Address | Homewood, AL 35209-6802 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2007 |
Last Update Date | 20/06/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
147774 | (05) | AL |