Provider Demographics
NPI:1033503750
Name:LAMMAS,LLC
Entity Type:Organization
Organization Name:LAMMAS,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:SIMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:812-801-1362
Mailing Address - Street 1:6211 E PLEASANT RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:IN
Mailing Address - Zip Code:47250-7408
Mailing Address - Country:US
Mailing Address - Phone:812-801-1362
Mailing Address - Fax:888-768-6471
Practice Address - Street 1:2560 N COUNTY ROAD 20 W
Practice Address - Street 2:
Practice Address - City:NORTH VERNON
Practice Address - State:IN
Practice Address - Zip Code:47265-8202
Practice Address - Country:US
Practice Address - Phone:812-801-1362
Practice Address - Fax:888-768-6471
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-19
Last Update Date:2015-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05002822A261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy