Provider Demographics
NPI:1578530499
Name:LEMAK, DAVID G (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:G
Last Name:LEMAK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4600 HIGHWAY 280 STE 210
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-5186
Mailing Address - Country:US
Mailing Address - Phone:205-971-8000
Mailing Address - Fax:
Practice Address - Street 1:4600 HIGHWAY 280 STE 210
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-5186
Practice Address - Country:US
Practice Address - Phone:205-971-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-01
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL23881207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL0310040001OtherCIGNA GOVERNMENT SERVICES
AL51528191OtherBCBS
AL51528191Medicaid
AL200011540OtherRAILROAD MEDICARE
510-09833OtherBCBS
I14450Medicare UPIN
AL200011540OtherRAILROAD MEDICARE
AL051554994Medicare PIN