Provider Demographics
NPI:1215308390
Name:LEMAR, JAN HENRIK (SOIDC)
Entity type:Individual
Prefix:MR
First Name:JAN
Middle Name:HENRIK
Last Name:LEMAR
Suffix:
Gender:M
Credentials:SOIDC
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Mailing Address - Street 1:PSC BOX 20138
Mailing Address - Street 2:2ND RECONNAISSANCE BATTALION
Mailing Address - City:CAMP LEJEUNE
Mailing Address - State:NC
Mailing Address - Zip Code:28542-0138
Mailing Address - Country:US
Mailing Address - Phone:910-440-7719
Mailing Address - Fax:
Practice Address - Street 1:A71 FL1 RM BAS
Practice Address - Street 2:2ND RECONNAISSANCE BATTALION
Practice Address - City:CAMP LEJEUNE
Practice Address - State:NC
Practice Address - Zip Code:28542-0138
Practice Address - Country:US
Practice Address - Phone:910-440-7719
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-14
Last Update Date:2015-10-14
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical