Provider Demographics
NPI:1437805389
Name:LEMESHEVA, MARIYA (DC)
Entity Type:Individual
Prefix:
First Name:MARIYA
Middle Name:
Last Name:LEMESHEVA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11520 N PORT WASHINGTON RD STE 101B
Mailing Address - Street 2:
Mailing Address - City:MEQUON
Mailing Address - State:WI
Mailing Address - Zip Code:53092-3432
Mailing Address - Country:US
Mailing Address - Phone:262-665-2988
Mailing Address - Fax:262-236-9474
Practice Address - Street 1:11520 N PORT WASHINGTON RD STE 101B
Practice Address - Street 2:
Practice Address - City:MEQUON
Practice Address - State:WI
Practice Address - Zip Code:53092-3432
Practice Address - Country:US
Practice Address - Phone:262-236-9474
Practice Address - Fax:262-236-9474
Is Sole Proprietor?:No
Enumeration Date:2022-03-01
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5729-12111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor