Provider Demographics
NPI:1851904122
Name:LEMANSKI, STEPHEN BRUCE
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:BRUCE
Last Name:LEMANSKI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1762 SW DAY ST
Mailing Address - Street 2:
Mailing Address - City:PORT SAINT LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34953-1130
Mailing Address - Country:US
Mailing Address - Phone:772-834-1258
Mailing Address - Fax:
Practice Address - Street 1:1762 SW DAY ST
Practice Address - Street 2:
Practice Address - City:PORT SAINT LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34953-1130
Practice Address - Country:US
Practice Address - Phone:772-834-1258
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-26
Last Update Date:2020-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion