Provider Demographics
NPI:1700113636
Name:LEMON, CHRISTIE LYNNE (OT)
Entity Type:Individual
Prefix:
First Name:CHRISTIE
Middle Name:LYNNE
Last Name:LEMON
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:CHRISTIE
Other - Middle Name:LYNNE
Other - Last Name:CLUTTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT
Mailing Address - Street 1:PO BOX 636002
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80163-6002
Mailing Address - Country:US
Mailing Address - Phone:303-694-2295
Mailing Address - Fax:303-694-7843
Practice Address - Street 1:3370 E JOLLY RD
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48910-8552
Practice Address - Country:US
Practice Address - Phone:517-272-5133
Practice Address - Fax:517-349-6892
Is Sole Proprietor?:No
Enumeration Date:2009-11-13
Last Update Date:2009-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5201000756225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist