Provider Demographics
NPI:1497959217
Name:LEMING, ANTHONY DEWAYNE (DC)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:DEWAYNE
Last Name:LEMING
Suffix:
Gender:M
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:PO BOX 610
Mailing Address - Street 2:
Mailing Address - City:LONE GROVE
Mailing Address - State:OK
Mailing Address - Zip Code:73443-0610
Mailing Address - Country:US
Mailing Address - Phone:580-657-6664
Mailing Address - Fax:580-657-6663
Practice Address - Street 1:HWY 70 W.
Practice Address - Street 2:
Practice Address - City:LONE GROVE
Practice Address - State:OK
Practice Address - Zip Code:73443
Practice Address - Country:US
Practice Address - Phone:580-657-6664
Practice Address - Fax:580-657-6663
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2216111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKLQDCKQMedicare ID - Type Unspecified