Provider Demographics
NPI:1427258987
Name:LEMONS, TARA (RD, LD, RN)
Entity type:Individual
Prefix:
First Name:TARA
Middle Name:
Last Name:LEMONS
Suffix:
Gender:F
Credentials:RD, LD, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10136 AVENEL GARDENS LN
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20903-1735
Mailing Address - Country:US
Mailing Address - Phone:202-782-9512
Mailing Address - Fax:202-782-0792
Practice Address - Street 1:6900 GEORGIA AVE NW
Practice Address - Street 2:BLDG 2 RM 2J38
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20307-0001
Practice Address - Country:US
Practice Address - Phone:202-782-9512
Practice Address - Fax:202-782-9512
Is Sole Proprietor?:No
Enumeration Date:2007-07-23
Last Update Date:2009-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL001722133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered