Provider Demographics
NPI:1316374531
Name:LEMAN, AMBER M (PA,)
Entity Type:Individual
Prefix:MS
First Name:AMBER
Middle Name:M
Last Name:LEMAN
Suffix:
Gender:F
Credentials:PA,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6047 N LATSON RD
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:MI
Mailing Address - Zip Code:48855-7278
Mailing Address - Country:US
Mailing Address - Phone:219-204-8486
Mailing Address - Fax:
Practice Address - Street 1:1225 S LATSON RD
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:MI
Practice Address - Zip Code:48843-7643
Practice Address - Country:US
Practice Address - Phone:517-338-2360
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-02
Last Update Date:2020-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1965363A00000X
MI5601008378363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant