| Jaime O. Lemna, Pc | |
|
2220 W Mcgalliard Rd Muncie IN 47304-2188 | |
| (765) 288-8812 | |
| (765) 284-9512 |
| Full Name | Jaime O. Lemna, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2220 W Mcgalliard Rd, Muncie, Indiana |
| Authorized Official Name and Position | Jaime O. Lemna (OWNER) |
| Authorized Official Contact | 7652888812 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jaime O. Lemna, Pc 2220 W Mcgalliard Rd Muncie IN 47304-2188 Ph: (765) 288-8812 | Jaime O. Lemna, Pc 2220 W Mcgalliard Rd Muncie IN 47304-2188 Ph: (765) 288-8812 |
| NPI Number | 1124494752 |
|---|---|
| Provider Enumeration Date | 08/18/2015 |
| Last Update Date | 08/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124494752 | NPI | - | NPPES |
| 100106080A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 12008505A (Indiana) | Primary |
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