Provider Demographics
NPI:1104314764
Name:LEMONS, CHRISTINIA (LMT-BC)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINIA
Middle Name:
Last Name:LEMONS
Suffix:
Gender:F
Credentials:LMT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:238 LEE ROAD 2086
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:AL
Mailing Address - Zip Code:36874-2740
Mailing Address - Country:US
Mailing Address - Phone:706-289-0068
Mailing Address - Fax:
Practice Address - Street 1:1315 DELAUNEY AVE STE 100
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31901-3839
Practice Address - Country:US
Practice Address - Phone:706-289-0068
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-28
Last Update Date:2018-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMT008908225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty