Provider Demographics
NPI:1265137897
Name:LEMKER, MOLLY CHRISTINE
Entity type:Individual
Prefix:MRS
First Name:MOLLY
Middle Name:CHRISTINE
Last Name:LEMKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:503 PUEBLO TRL
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:KY
Mailing Address - Zip Code:40324-1019
Mailing Address - Country:US
Mailing Address - Phone:502-352-8112
Mailing Address - Fax:
Practice Address - Street 1:503 PUEBLO TRL
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:KY
Practice Address - Zip Code:40324-1019
Practice Address - Country:US
Practice Address - Phone:502-352-8112
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-03
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY201185855222Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist