Provider Demographics
NPI:1770668857
Name:LEMBACH, CARRIE ANN (DO)
Entity Type:Individual
Prefix:
First Name:CARRIE
Middle Name:ANN
Last Name:LEMBACH
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:262 NEIL AVE
Mailing Address - Street 2:SUITE 320
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-7309
Mailing Address - Country:US
Mailing Address - Phone:614-288-4500
Mailing Address - Fax:614-221-0138
Practice Address - Street 1:262 NEIL AVE
Practice Address - Street 2:SUITE 320
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-7309
Practice Address - Country:US
Practice Address - Phone:614-228-4500
Practice Address - Fax:614-221-0138
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2020-04-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH58001220207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHLE4215032Medicare PIN