Doctor Name: | MS. WENDY KATHERINE LEMERE |
NPI Number: | 1063596070 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNP |
License Number: | 4704159580 |
Business Practice Address: | 24555 Haig St Taylor, MI - 481803322 |
Business Phone Number: | 3133752170 |
Business Fax Number: | 3133752166 |
Mailing Address: | 2799 W Grand Blvd, K-11, Neurology DETROIT |
State: | MI |
Postal Code: | 482022608 |
Phone Number: | 3139163341 |
Fax Number: | 3139163014 |
NPI Enumeration Date: | 10/25/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | 4704159580 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |