RALPH A. LEMCKE, MD, PC
Dermatology at Carondelet Dr, Tucson, AZ

License number
Arizona 7116
Category
Osteopathic Medicine
Type
Dermatology
Owner
Name: RALPH A LEMCKE MD
Title: PRESIDENT
Phone: (520) 296-6204
Address
Address
6542 E Carondelet Dr, Tucson, AZ 85710
National Provider ID: 1851445332
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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RALPH A. LEMCKE, M.D., PC

6542 E Carondelet Dr, Tucson, AZ 85710

Status:
Inactive
Inactive reason:
Ad-dissolved-file annual report
Registration:
Oct 10, 1996
Inactive since:
Aug 18, 2014
State ID:
-0789378-6
Expiration:
PERPETUAL
President/ceo:
Ralph A Lemcke (President/ceo), 6542 E Carondelet, Tucson, AZ 85710 (Physical)
Agent:
Steven L Bosse,3507 N Campbell Ave #111, Tucson, AZ 85719 (Physical)
Business type:
HEALTH CARE

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