NPI 1295059160

Bruce Lemon

Practitioner Contractor Detroit Lakes, MN

Practice location

Address: 30195 County Highway 54, Detroit Lakes, MN 56501-7414
Phone: (218) 847-0055

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1295059160
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Mar 2010
Record last updated: 22 Mar 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.