Most Relevant Information
Provider Data
| NPI Number: | 1003378019 |
| Provider Name: | JACK DONOVAN LEMON MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207WX0107X |
| Specialty: | Ophthalmology |
| License Number: | A187679 |
Most Important Dates
| Enumeration Date: | 04/01/2019 |
| Last Updated: | 05/14/2024 |
Provider Practice Location
622 W DUARTE RD STE 101
ARCADIA
CA
910079266
Practice Location Phone/Fax
| Phone: | 6262549010 |
| Fax: |
Provider Mailing Location
5767 W CENTURY BLVD STE 400
LOS ANGELES
CA
900455631
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |