Provider Demographics
NPI:1760364814
Name:LEMON, TIFFANI ANN ROBIN
Entity type:Individual
Prefix:
First Name:TIFFANI ANN
Middle Name:ROBIN
Last Name:LEMON
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 1:137 N ERWIN ST
Mailing Address - Street 2:
Mailing Address - City:CARTERSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30120-3123
Mailing Address - Country:US
Mailing Address - Phone:770-334-3708
Mailing Address - Fax:
Practice Address - Street 1:137 N ERWIN ST
Practice Address - Street 2:
Practice Address - City:CARTERSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30120-3123
Practice Address - Country:US
Practice Address - Phone:770-334-3708
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program