| Doctor Name: | MR. MICHAEL KEVIN LEMP |
| NPI Number: | 1063839504 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSN, RN, FNP-C |
| License Number: | 2014022531 |
| Business Practice Address: | 10 Emerald Ter Swansea, IL - 622262310 |
| Business Phone Number: | 6182356780 |
| Business Fax Number: | 6182356740 |
| Mailing Address: | 10 Emerald Ter, SWANSEA |
| State: | IL |
| Postal Code: | 622262310 |
| Phone Number: | 6182356780 |
| Fax Number: | 6182356740 |
| NPI Enumeration Date: | 03/21/2014 |
| NPI Last Update Date: | 04/13/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 2014022531 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |