| Doctor Name: | MICHAEL A LEMBECK-EDENS |
| NPI Number: | 1336104611 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CRNP |
| License Number: | SP007459 |
| Business Practice Address: | Penn State University 222 Elmore Research Wing Noll Lab University Park, PA - 16802 |
| Business Phone Number: | 8148635929 |
| Business Fax Number: | |
| Mailing Address: | 820 Shamrock Ave, STATE COLLEGE |
| State: | PA |
| Postal Code: | 168016993 |
| Phone Number: | 8142340666 |
| Fax Number: | |
| NPI Enumeration Date: | 04/19/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | SP007459 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |