Provider Demographics
NPI:1801019203
Name:LEMONS, FREDDYE MICHELLE (MD)
Entity Type:Individual
Prefix:DR
First Name:FREDDYE
Middle Name:MICHELLE
Last Name:LEMONS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 342021
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33694-2021
Mailing Address - Country:US
Mailing Address - Phone:813-972-7100
Mailing Address - Fax:813-972-8267
Practice Address - Street 1:4225 E FOWLER AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33617-2026
Practice Address - Country:US
Practice Address - Phone:813-972-8267
Practice Address - Fax:813-972-8267
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME-86269207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology