Provider Demographics
NPI:1093131864
Name:LEMIRE, GRANT (DC)
Entity Type:Individual
Prefix:
First Name:GRANT
Middle Name:
Last Name:LEMIRE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 PARIS ST
Mailing Address - Street 2:
Mailing Address - City:NORWAY
Mailing Address - State:ME
Mailing Address - Zip Code:04268-5631
Mailing Address - Country:US
Mailing Address - Phone:207-743-2866
Mailing Address - Fax:207-743-5942
Practice Address - Street 1:39 PARIS ST
Practice Address - Street 2:
Practice Address - City:NORWAY
Practice Address - State:ME
Practice Address - Zip Code:04268-5631
Practice Address - Country:US
Practice Address - Phone:207-743-2866
Practice Address - Fax:207-743-5942
Is Sole Proprietor?:No
Enumeration Date:2014-03-17
Last Update Date:2016-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECR2171111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor