Provider Demographics
NPI:1184633406
Name:LAMNARI, ANNA M (MD)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:M
Last Name:LAMNARI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:M
Other - Last Name:MARKIELEWICZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3533 E RAMSEY AVENUE
Mailing Address - Street 2:
Mailing Address - City:CUDAHY
Mailing Address - State:WI
Mailing Address - Zip Code:53110-3009
Mailing Address - Country:US
Mailing Address - Phone:414-769-6600
Mailing Address - Fax:414-486-2297
Practice Address - Street 1:3533 E RAMSEY AVENUE
Practice Address - Street 2:
Practice Address - City:CUDAHY
Practice Address - State:WI
Practice Address - Zip Code:53110-3009
Practice Address - Country:US
Practice Address - Phone:414-769-6600
Practice Address - Fax:414-486-2297
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI42840207R00000X, 207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI34104800Medicaid
004580033Medicare ID - Type Unspecified
WI34104800Medicaid