| Provider / Organization | NPI | Date Certified |
|---|---|---|
| LEUL LEMMA | 1659080505 | 2022-11-18 |
Leul Lemma is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1659080505. Registration indicates Leul Lemma is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Entity Type | Individual |
| Provider Name | Leul Lemma |
| Practice Office Address | 1200 KENWOOD AVE DULUTH, MN US |
| Practice Office Telephone | 8004475444 |
| Mailing Address | 1730 GRAHAM AVE APT 205 SAINT PAUL, MN 551161384 US |
| Business Telephone | 6517069088 |
| Code | Practice | License No State |
|---|---|---|
| 390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |