Provider Demographics
NPI:1871927236
Name:ABICHT-LEMKE, MARY FLORENCE (LMT)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:FLORENCE
Last Name:ABICHT-LEMKE
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:942 LAMBETH DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43220-5033
Mailing Address - Country:US
Mailing Address - Phone:614-264-7456
Mailing Address - Fax:
Practice Address - Street 1:942 LAMBETH DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43220-5033
Practice Address - Country:US
Practice Address - Phone:614-264-7456
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-21
Last Update Date:2013-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5449225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist