Provider Demographics
NPI:1386534576
Name:LEMONS, BRENNA SUE
Entity type:Individual
Prefix:
First Name:BRENNA
Middle Name:SUE
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 1:3807 W 55TH ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74107-9518
Mailing Address - Country:US
Mailing Address - Phone:918-346-4909
Mailing Address - Fax:
Practice Address - Street 1:3807 W 55TH ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74107-9518
Practice Address - Country:US
Practice Address - Phone:918-346-4909
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-08
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist