Provider Demographics
NPI:1326136912
Name:HAMMEL, LYNNE DEE (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:
First Name:LYNNE
Middle Name:DEE
Last Name:HAMMEL
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2719 CYLBURN MEADOWS CT
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-5362
Mailing Address - Country:US
Mailing Address - Phone:410-664-5916
Mailing Address - Fax:
Practice Address - Street 1:10 N GREENE STREET BT/127
Practice Address - Street 2:VA MARYLAND HEALTH CARE SYSTEM
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201
Practice Address - Country:US
Practice Address - Phone:410-605-7060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR054328363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health