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Kelli Nicole Lem
Medical Physician Assistant in Marina Del Rey, California
NPI 1598112062

Kelli Nicole Lem is a Medical Physician Assistant based in Henderson, CA and is specialized in Medical. Kelli Nicole Lem practices in Marina Del Rey, CA. The NPI Number for Kelli Nicole Lem is 1598112062 and holds a License No. 53766 (California).

The current practice location address for Kelli Nicole Lem is 13900 Marquesas Way Apt 5417, Marina Del Rey, CA and can be reached out via phone at 424-208-4630.

Location: 13900 Marquesas Way Apt 5417, Marina Del Rey, CA, 89044-1689
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598112062
Provider Name
Kelli Nicole Lem
Credential
Provider Entity Type
Individual
Gender
Female
Address
13900 Marquesas Way Apt 5417, Marina Del Rey, CA, 89044-1689
Phone Number
424-208-4630
Fax Number
Provider Enumeration Date
05/15/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
13900 Marquesas Way Apt 5417
City
Marina Del Rey
State
California
Zip
90292-6076
Phone Number
424-208-4630
Fax Number
person
Provider Business Mailing Address Details
Address
13900 Marquesas Way Apt 5417
City
Marina Del Rey
State
California
Zip
90292-6076
Phone Number
424-208-4630
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Urgent Care
Taxonomy
261QU0200X
License No.
PA2010 (Nevada)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
53766 (California)
Definition
Definition to come...
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