Provider Demographics
NPI:1851739635
Name:LEMKE, BRITTANY S (OD)
Entity Type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:S
Last Name:LEMKE
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 1:318 N 6TH ST
Mailing Address - Street 2:
Mailing Address - City:TOMAHAWK
Mailing Address - State:WI
Mailing Address - Zip Code:54487-1423
Mailing Address - Country:US
Mailing Address - Phone:715-453-3636
Mailing Address - Fax:715-453-3389
Practice Address - Street 1:318 N 6TH ST
Practice Address - Street 2:
Practice Address - City:TOMAHAWK
Practice Address - State:WI
Practice Address - Zip Code:54487-1423
Practice Address - Country:US
Practice Address - Phone:715-453-3636
Practice Address - Fax:715-453-3389
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-13
Last Update Date:2013-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3311-35152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist