Provider Demographics
NPI:1740497510
Name:LEMON, ZACHARY THOMAS (DO)
Entity type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:THOMAS
Last Name:LEMON
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:6255 INKSTER RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:GARDEN CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48135-2577
Mailing Address - Country:US
Mailing Address - Phone:734-421-4850
Mailing Address - Fax:734-421-6635
Practice Address - Street 1:6255 INKSTER RD
Practice Address - Street 2:SUITE 101
Practice Address - City:GARDEN CITY
Practice Address - State:MI
Practice Address - Zip Code:48135-2577
Practice Address - Country:US
Practice Address - Phone:734-421-4850
Practice Address - Fax:734-421-6635
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2022-07-21
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Provider Licenses
StateLicense IDTaxonomies
MI5101016803207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0Q26334060Medicare PIN