Doctor Name: | MRS. CANDACE G LEMKE |
NPI Number: | 1043446776 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | 28159189A |
Business Practice Address: | 850 N Harrison St Warsaw, IN - 465803163 |
Business Phone Number: | 5742677169 |
Business Fax Number: | 5742693995 |
Mailing Address: | 850 N Harrison St, WARSAW |
State: | IN |
Postal Code: | 465803163 |
Phone Number: | 5742677169 |
Fax Number: | 5742695573 |
NPI Enumeration Date: | 06/09/2009 |
NPI Last Update Date: | 10/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 28159189A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |