Provider Demographics
NPI:1538229687
Name:LEMONS, VAN BUREN ROSS (MD)
Entity type:Individual
Prefix:
First Name:VAN BUREN
Middle Name:ROSS
Last Name:LEMONS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3415 AMERICAN RIVER DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95864-5794
Mailing Address - Country:US
Mailing Address - Phone:916-648-0144
Mailing Address - Fax:916-648-0155
Practice Address - Street 1:3415 AMERICAN RIVER DR
Practice Address - Street 2:SUITE A
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95864-5794
Practice Address - Country:US
Practice Address - Phone:916-648-0144
Practice Address - Fax:916-648-0155
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2012-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG60902208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery