Provider Demographics
NPI:1023288404
Name:ANDREW J. LEMOI D.P.M., INC.
Entity type:Organization
Organization Name:ANDREW J. LEMOI D.P.M., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DPM
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:J
Authorized Official - Last Name:LEMOI
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:401-921-5444
Mailing Address - Street 1:1050 MAIN ST
Mailing Address - Street 2:SUITE 21
Mailing Address - City:EAST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818-3161
Mailing Address - Country:US
Mailing Address - Phone:401-921-5444
Mailing Address - Fax:401-921-1663
Practice Address - Street 1:1050 MAIN ST
Practice Address - Street 2:SUITE 21
Practice Address - City:EAST GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02818-3161
Practice Address - Country:US
Practice Address - Phone:401-921-5444
Practice Address - Fax:401-921-1663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-03
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDPM00301213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI5650540001Medicare NSC