Provider Demographics
NPI:1396317186
Name:RELFORD, LEMUEL
Entity type:Individual
Prefix:MR
First Name:LEMUEL
Middle Name:
Last Name:RELFORD
Suffix:
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 1:210 CENTRAL CALDWOOD DR
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77707-1918
Mailing Address - Country:US
Mailing Address - Phone:409-998-3319
Mailing Address - Fax:
Practice Address - Street 1:3122 WOODLAWN DR
Practice Address - Street 2:
Practice Address - City:GROVES
Practice Address - State:TX
Practice Address - Zip Code:77619-2717
Practice Address - Country:US
Practice Address - Phone:409-293-3707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-12
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator