Provider Demographics
NPI:1073662268
Name:LEMESHEV, JODI GOULD (MD)
Entity Type:Individual
Prefix:
First Name:JODI
Middle Name:GOULD
Last Name:LEMESHEV
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1012 N GALLOWAY AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75149-7414
Mailing Address - Country:US
Mailing Address - Phone:972-288-7337
Mailing Address - Fax:972-289-9076
Practice Address - Street 1:1012 N GALLOWAY AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75149-7414
Practice Address - Country:US
Practice Address - Phone:972-288-7337
Practice Address - Fax:972-289-9076
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXL87942080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine