Provider Demographics
NPI:1366760126
Name:LEMEK, JAIME O (DC)
Entity type:Individual
Prefix:DR
First Name:JAIME
Middle Name:O
Last Name:LEMEK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:JAIME
Other - Middle Name:B
Other - Last Name:OUELLETTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:200 MERROW RD
Mailing Address - Street 2:UNIT K
Mailing Address - City:TOLLAND
Mailing Address - State:CT
Mailing Address - Zip Code:06084-3416
Mailing Address - Country:US
Mailing Address - Phone:860-875-1414
Mailing Address - Fax:860-875-1422
Practice Address - Street 1:200 MERROW RD
Practice Address - Street 2:UNIT K
Practice Address - City:TOLLAND
Practice Address - State:CT
Practice Address - Zip Code:06084-3416
Practice Address - Country:US
Practice Address - Phone:860-875-1414
Practice Address - Fax:860-875-1422
Is Sole Proprietor?:No
Enumeration Date:2010-05-04
Last Update Date:2015-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001835111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT756179OtherOPTUM HEALTH SOLUTIONS
CTP5141028OtherUNITED HEALTHCARE-OXFORD
CT1366760126OtherBLUE CROSS BLUE SHIELD
CT1123444OtherCIGNA
CT9677536OtherAETNA