Provider Demographics
NPI:1841456043
Name:KARENGA R. LEMMONS, MD, LLC
Entity type:Organization
Organization Name:KARENGA R. LEMMONS, MD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGEMENT CONSULTANT
Authorized Official - Prefix:
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:A
Authorized Official - Last Name:SIBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-938-8605
Mailing Address - Street 1:9811 MALLARD DR
Mailing Address - Street 2:SUITE 118/119/120
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20708-3143
Mailing Address - Country:US
Mailing Address - Phone:301-559-2515
Mailing Address - Fax:301-559-2517
Practice Address - Street 1:3311 TOLEDO TER
Practice Address - Street 2:STE C105
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20782-4135
Practice Address - Country:US
Practice Address - Phone:301-559-2515
Practice Address - Fax:301-559-2517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-06
Last Update Date:2008-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0031711207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCG02793Medicare PIN
MDB69596Medicare UPIN