Provider Demographics
NPI:1861799900
Name:LEMON, CARMEN R (RN)
Entity type:Individual
Prefix:MS
First Name:CARMEN
Middle Name:R
Last Name:LEMON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4616 CABBAGE PALM DR
Mailing Address - Street 2:
Mailing Address - City:VALRICO
Mailing Address - State:FL
Mailing Address - Zip Code:33596-7178
Mailing Address - Country:US
Mailing Address - Phone:513-289-8290
Mailing Address - Fax:
Practice Address - Street 1:4616 CABBAGE PALM DR
Practice Address - Street 2:
Practice Address - City:VALRICO
Practice Address - State:FL
Practice Address - Zip Code:33596-7178
Practice Address - Country:US
Practice Address - Phone:513-289-8290
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-25
Last Update Date:2021-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH303125163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical