Provider Demographics
NPI:1629036660
Name:LEMLEY, CHRISTINE E (OD)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:E
Last Name:LEMLEY
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6634 APRIL MIST TRL
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-2322
Mailing Address - Country:US
Mailing Address - Phone:704-766-0345
Mailing Address - Fax:
Practice Address - Street 1:6634 APRIL MIST TRL
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-2322
Practice Address - Country:US
Practice Address - Phone:704-766-0345
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2009-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4297/T91152W00000X
NC2092152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0826904Medicaid
OH0826904Medicaid