Provider Demographics
NPI:1073867990
Name:LAMEIER, DANA (PT)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:
Last Name:LAMEIER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1233 DANIELS RD
Mailing Address - Street 2:
Mailing Address - City:PAVO
Mailing Address - State:GA
Mailing Address - Zip Code:31778-3707
Mailing Address - Country:US
Mailing Address - Phone:229-305-5931
Mailing Address - Fax:
Practice Address - Street 1:1233 DANIELS RD
Practice Address - Street 2:
Practice Address - City:PAVO
Practice Address - State:GA
Practice Address - Zip Code:31778-3707
Practice Address - Country:US
Practice Address - Phone:229-305-5931
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-30
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT009051225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAPT009051OtherSTATE LICENSE