Provider Demographics
NPI:1326857475
Name:LEMME, KARISSA JANELLE
Entity type:Individual
Prefix:
First Name:KARISSA
Middle Name:JANELLE
Last Name:LEMME
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 MARIN ST STE 100
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-4265
Mailing Address - Country:US
Mailing Address - Phone:805-868-9828
Mailing Address - Fax:
Practice Address - Street 1:501 MARIN ST STE 100
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91360-4265
Practice Address - Country:US
Practice Address - Phone:805-868-9828
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-03
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program