Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 6044P | KY |
NPI | 1538390166 |
---|---|
Provider Name | Erica Lemberger |
First Address | Conshohocken, PA 19428-2083 |
Second Address | Middletown, KY 40243-1044 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2009 |
Last Update Date | 10/12/2011 |