Provider Demographics
NPI:1952751794
Name:LEMERY, JODIE ANNE (LAC)
Entity Type:Individual
Prefix:
First Name:JODIE
Middle Name:ANNE
Last Name:LEMERY
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:89 ROUTE 101A
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NH
Mailing Address - Zip Code:03031-2290
Mailing Address - Country:US
Mailing Address - Phone:603-672-0272
Mailing Address - Fax:603-672-0270
Practice Address - Street 1:89 ROUTE 101A
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NH
Practice Address - Zip Code:03031-2290
Practice Address - Country:US
Practice Address - Phone:603-672-0272
Practice Address - Fax:603-672-0270
Is Sole Proprietor?:No
Enumeration Date:2016-06-13
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT091.0114396171100000X
CT43.000673171100000X
NH268171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist