Provider Demographics
NPI:1932268265
Name:LEMLEK, JOSEPH E (DO, FACC)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:E
Last Name:LEMLEK
Suffix:
Gender:M
Credentials:DO, FACC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 47624
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67201-7624
Mailing Address - Country:US
Mailing Address - Phone:316-491-5926
Mailing Address - Fax:316-491-5962
Practice Address - Street 1:630 S HILLSIDE ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67211-2157
Practice Address - Country:US
Practice Address - Phone:316-616-2020
Practice Address - Fax:316-616-2007
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2009-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS126831207RC0000X
KS31373207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS106036OtherBLUE CROSS BLUE SHIELD
KS100360830FMedicaid
KS100360830DMedicaid
KSP00370457OtherRAILROAD MEDICARE
KS106036OtherBLUE CROSS BLUE SHIELD
KS100360830DMedicaid
KSP00370457OtherRAILROAD MEDICARE