Provider Demographics
NPI:1457415143
Name:LEMON, FRANKLIN CALVIN (MD)
Entity Type:Individual
Prefix:
First Name:FRANKLIN
Middle Name:CALVIN
Last Name:LEMON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5601 NORRIS CANYON RD.
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583
Mailing Address - Country:US
Mailing Address - Phone:925-277-3070
Mailing Address - Fax:925-866-8205
Practice Address - Street 1:5601 NORRIS CANYON RD.
Practice Address - Street 2:SUITE 200
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583
Practice Address - Country:US
Practice Address - Phone:925-277-3070
Practice Address - Fax:925-866-8205
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2017-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC224701207R00000X
CAC22470207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA32177Medicare UPIN
CAA-32177Medicare UPIN
CA00C224701Medicare ID - Type Unspecified