Provider Demographics
NPI:1518007590
Name:LEMON, STEPHEN KEITH (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:KEITH
Last Name:LEMON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2403 CASTILLO ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-5316
Mailing Address - Country:US
Mailing Address - Phone:805-682-3585
Mailing Address - Fax:805-682-4072
Practice Address - Street 1:2403 CASTILLO ST
Practice Address - Street 2:SUITE 201
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-5316
Practice Address - Country:US
Practice Address - Phone:805-682-3585
Practice Address - Fax:805-682-4072
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG27000207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00270000Medicaid
WG27000BMedicare ID - Type Unspecified
CA00270000Medicaid