Provider Demographics
NPI:1073927802
Name:LEMONS, LYNETTE
Entity Type:Individual
Prefix:MRS
First Name:LYNETTE
Middle Name:
Last Name:LEMONS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3200 S BRYANT ST
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72204-5924
Mailing Address - Country:US
Mailing Address - Phone:501-562-3600
Mailing Address - Fax:501-562-3600
Practice Address - Street 1:3200 S BRYANT ST
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72204-5924
Practice Address - Country:US
Practice Address - Phone:501-562-3600
Practice Address - Fax:501-562-3600
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-19
Last Update Date:2020-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR27488251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare