Provider Demographics
NPI:1972307643
Name:FISHER, LEMUEL J (CHW)
Entity type:Individual
Prefix:MR
First Name:LEMUEL
Middle Name:J
Last Name:FISHER
Suffix:
Gender:
Credentials:CHW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2676 YEMANS ST
Mailing Address - Street 2:
Mailing Address - City:HAMTRAMCK
Mailing Address - State:MI
Mailing Address - Zip Code:48212-4019
Mailing Address - Country:US
Mailing Address - Phone:517-862-0062
Mailing Address - Fax:
Practice Address - Street 1:2676 YEMANS ST
Practice Address - Street 2:
Practice Address - City:HAMTRAMCK
Practice Address - State:MI
Practice Address - Zip Code:48212-4019
Practice Address - Country:US
Practice Address - Phone:517-862-0062
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker