Provider Demographics
NPI:1437488582
Name:LEMKE, ANGELICA L (ND)
Entity Type:Individual
Prefix:DR
First Name:ANGELICA
Middle Name:L
Last Name:LEMKE
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:426 BEDFORD RD
Mailing Address - Street 2:
Mailing Address - City:PLEASANTVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10570-3003
Mailing Address - Country:US
Mailing Address - Phone:914-747-1647
Mailing Address - Fax:
Practice Address - Street 1:426 BEDFORD RD
Practice Address - Street 2:
Practice Address - City:PLEASANTVILLE
Practice Address - State:NY
Practice Address - Zip Code:10570-3003
Practice Address - Country:US
Practice Address - Phone:914-747-1647
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-21
Last Update Date:2009-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000429175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath