Benjamin David Lemoine, MD Valid NPI

Individual provider · Diagnostic Radiology Physician · Peoria, IL

NPI

1497071872

Type

Individual (Type 1)

Primary specialty

Diagnostic Radiology Physician (Radiology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

2085R0202X

License number

036-147348 (IL)

Sex

Male

Sole proprietor

No

Enumerated

2010-04-11

Last updated

2024-01-03