Provider Demographics
NPI:1073938536
Name:LEM, DORIS JOE (PHARM D)
Entity Type:Individual
Prefix:
First Name:DORIS
Middle Name:JOE
Last Name:LEM
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2698 RASMUSSEN CT
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94588-8396
Mailing Address - Country:US
Mailing Address - Phone:925-846-8079
Mailing Address - Fax:
Practice Address - Street 1:4225 ROSEWOOD DR
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-3001
Practice Address - Country:US
Practice Address - Phone:925-460-8552
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-20
Last Update Date:2014-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA40356183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist