Provider Demographics
NPI:1437660834
Name:LEMONIS, CHRISTOS GEORGE (CPO)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOS
Middle Name:GEORGE
Last Name:LEMONIS
Suffix:
Gender:M
Credentials:CPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10420 PARK RD STE 100A
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-8501
Mailing Address - Country:US
Mailing Address - Phone:704-557-0700
Mailing Address - Fax:704-307-2871
Practice Address - Street 1:10420 PARK RD STE 100A
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210-8501
Practice Address - Country:US
Practice Address - Phone:704-557-0700
Practice Address - Fax:704-307-2871
Is Sole Proprietor?:No
Enumeration Date:2017-10-12
Last Update Date:2017-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPRO114224P00000X
NCC52629222Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist