1639377609 NPI number — DR. AMIE MARIE LEMOS-MILLER PH.D.

Table of content: DR. AMIE MARIE LEMOS-MILLER PH.D. (NPI 1639377609)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1639377609 NPI number — DR. AMIE MARIE LEMOS-MILLER PH.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LEMOS-MILLER
Provider First Name:
AMIE
Provider Middle Name:
MARIE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PH.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
LEMOS
Provider Other First Name:
AMIE
Provider Other Middle Name:
MARIE
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
PHD
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1639377609
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/16/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7745 BOULDER AVENUE #1205
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HIGHLAND
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92346
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
909-830-1946
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7745 BOULDER AVE UNIT 1205
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HIGHLAND
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92346-8066
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
909-830-1946
Provider Business Practice Location Address Fax Number:
909-864-3906
Provider Enumeration Date:
07/11/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103TC0700X , with the licence number:  23024 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)