Provider Demographics
NPI:1992162010
Name:LMND MEDICAL GROUP, INC., A PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:LMND MEDICAL GROUP, INC., A PROFESSIONAL CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FAMILY MEDICINE PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:BRENDAN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:LEVY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:415-926-5818
Mailing Address - Street 1:928 HARRISON ST STE 200
Mailing Address - Street 2:LEMONAID HEALTH
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94107-1009
Mailing Address - Country:US
Mailing Address - Phone:415-926-5818
Mailing Address - Fax:844-610-6728
Practice Address - Street 1:928 HARRISON ST STE 200
Practice Address - Street 2:LEMONAID HEALTH
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94107-1009
Practice Address - Country:US
Practice Address - Phone:415-926-5818
Practice Address - Fax:844-610-6728
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-20
Last Update Date:2016-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LEMONAID.COMOtherURL
LEMONAIDHEALTH.COMOtherURL