Provider Demographics
NPI:1114912193
Name:LEMOI, ANDREW J (DPM)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:J
Last Name:LEMOI
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1050 MAIN ST
Mailing Address - Street 2:STE 21
Mailing Address - City:EAST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818-3161
Mailing Address - Country:US
Mailing Address - Phone:401-886-1132
Mailing Address - Fax:401-885-6091
Practice Address - Street 1:1050 MAIN ST
Practice Address - Street 2:STE 21
Practice Address - City:EAST GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02818-3161
Practice Address - Country:US
Practice Address - Phone:401-886-1132
Practice Address - Fax:401-885-6091
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-15
Last Update Date:2011-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRIDPM301213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI407244OtherBCHP
RIAL41310Medicaid
RI26425-9OtherB/C & B/S OF RI
RI26425-9OtherB/C & B/S OF RI
U80640Medicare UPIN