| Lemons Center Llc | |
|
15700 College Blvd Ste 201 Lenexa KS 66219-1473 | |
| (913) 383-8977 | |
| (913) 383-3116 |
| Full Name | Lemons Center Llc |
|---|---|
| Speciality | Psychologist |
| Location | 15700 College Blvd Ste 201, Lenexa, Kansas |
| Authorized Official Name and Position | Jimmie Lemons (OWNER) |
| Authorized Official Contact | 9133838977 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lemons Center Llc Po Box 3321 Omaha NE 68103-0321 Ph: (913) 383-8977 | Lemons Center Llc 15700 College Blvd Ste 201 Lenexa KS 66219-1473 Ph: (913) 383-8977 |
| NPI Number | 1467572172 |
|---|---|
| Provider Enumeration Date | 03/29/2007 |
| Last Update Date | 02/26/2018 |
| Medicare PECOS PAC ID | 6204820046 |
|---|---|
| Medicare Enrollment ID | O20040413001635 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467572172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | (* (Not Available)) | Primary |
| Provider Name | Jimmie G Lemons |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073511747 PECOS PAC ID: 4183618937 Enrollment ID: I20090309000227 |
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