Provider Demographics
NPI:1912397498
Name:LEMAK HEALTH PARTNERS, LLC
Entity Type:Organization
Organization Name:LEMAK HEALTH PARTNERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:T
Authorized Official - Last Name:LEMAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-329-7501
Mailing Address - Street 1:2316 1ST AVE S
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35233-2414
Mailing Address - Country:US
Mailing Address - Phone:205-329-7510
Mailing Address - Fax:
Practice Address - Street 1:2215 DECATUR HWY
Practice Address - Street 2:SUITE 117
Practice Address - City:GARDENDALE
Practice Address - State:AL
Practice Address - Zip Code:35071-2360
Practice Address - Country:US
Practice Address - Phone:205-631-8887
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-04
Last Update Date:2015-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty