Provider Demographics
NPI:1790852978
Name:LEMON, THOMAS R (DCPC)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:R
Last Name:LEMON
Suffix:
Gender:M
Credentials:DCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1013 DOWNTOWNER BLVD
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36609-5427
Mailing Address - Country:US
Mailing Address - Phone:251-343-4140
Mailing Address - Fax:251-343-4174
Practice Address - Street 1:1013 DOWNTOWNER BLVD
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609-5427
Practice Address - Country:US
Practice Address - Phone:251-343-4140
Practice Address - Fax:251-343-4174
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL0898111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor