Individual provider · Type 1 NPI
Donald W. Lemoine Ii, PA-C
Surgical Physician Assistant · Alton, IL
NPI number
1407987829
Active
Practice location
4 Memorial Drive, Ste 130B
Alton, IL 62002-4707
Fax (618) 463-7601
Mailing address
670 Mason Ridge Center Dr, Ste 300
St. Louis, MO 63141-8573
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 102535 (MO) |
| Surgical Physician Assistant Primary | 363AS0400X | 085000615 (IL) |
Surgical Physician Assistant: Definition to come...
3 other providers at this address
About NPI 1407987829
Donald W. Lemoine Ii, PA-C's National Provider Identifier is 1407987829, issued on Mar 8, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Alton, IL. The record was last updated on Nov 11, 2015.