Provider Demographics
NPI:1285481523
Name:LEMANGO, ADINEW AGA I
Entity type:Individual
Prefix:MR
First Name:ADINEW
Middle Name:AGA
Last Name:LEMANGO
Suffix:I
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5779 CORINNE CREEK DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43232-1607
Mailing Address - Country:US
Mailing Address - Phone:614-530-3176
Mailing Address - Fax:
Practice Address - Street 1:5779 CORINNE CREEK DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43232-1607
Practice Address - Country:US
Practice Address - Phone:614-530-3176
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-03
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)