Basic Information
Provider Information
NPI: 1104168681
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LEMMER
FirstName: ALEXANDER
MiddleName: A
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 201 E HURON
Address2: GALTER 3-150
City: CHICAGO
State: IL
PostalCode: 60611
CountryCode: US
TelephoneNumber: 5403126116
FaxNumber:  
Practice Location
Address1: 1968 PEACHTREE RD NW BLDG 77, 5TH FLR
Address2:  
City: ATLANTA
State: GA
PostalCode: 303091281
CountryCode: US
TelephoneNumber: 4046054600
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/21/2013
LastUpdateDate: 07/24/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/24/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X84644GAN Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000X036.139115ILN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RG0100X84644GAN Allopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
207RI0008X84644GAN Allopathic & Osteopathic PhysiciansInternal MedicineHepatology
207RT0003X84644GAY Allopathic & Osteopathic PhysiciansInternal MedicineTransplant Hepatology

No ID Information.


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