Provider Demographics
NPI:1013997527
Name:LEMMON, KATHRYN S (MD)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:S
Last Name:LEMMON
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 1:246 PLEASANT ST
Mailing Address - Street 2:SUITE 105 B EYE ANESTHESIA OF CONCORD PLLC
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-2548
Mailing Address - Country:US
Mailing Address - Phone:603-224-6503
Mailing Address - Fax:
Practice Address - Street 1:246 PLEASANT ST
Practice Address - Street 2:SUITE 105 B EYE ANESTHESIA OF CONCORD PLLC
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-2548
Practice Address - Country:US
Practice Address - Phone:603-224-6503
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-19
Last Update Date:2010-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH5827207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH579420OtherCIGNA INDIDUAL ID
NH00000241Medicaid
NH0104956Y0NH02OtherANTHEM INDIVIDUAL ID
NHE117661OtherHPHC INDIVIDUAL ID
NH050080037OtherRR MEDICARE INDIVIDUAL ID
NH00000241Medicaid
NHE117661OtherHPHC INDIVIDUAL ID