Provider Demographics
NPI:1942804703
Name:CHRISTINE A. LEMON PLLC
Entity Type:Organization
Organization Name:CHRISTINE A. LEMON PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MAYRA
Authorized Official - Middle Name:
Authorized Official - Last Name:VALENZUELA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-820-0288
Mailing Address - Street 1:14100 N 83RD AVE STE 280
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85381-5660
Mailing Address - Country:US
Mailing Address - Phone:602-820-0288
Mailing Address - Fax:602-930-4965
Practice Address - Street 1:14100 N 83RD AVE STE 280
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85381-5660
Practice Address - Country:US
Practice Address - Phone:602-820-0288
Practice Address - Fax:602-930-4965
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-23
Last Update Date:2020-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223D0004XDental ProvidersDentistDentist AnesthesiologistGroup - Single Specialty