Provider Demographics
NPI:1346498847
Name:PAMMER, LAUREN ELIZABETH (MOT, OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:ELIZABETH
Last Name:PAMMER
Suffix:
Gender:F
Credentials:MOT, OTR/L
Other - Prefix:MS
Other - First Name:LAUREN
Other - Middle Name:ELIZABETH
Other - Last Name:PARCHEM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MOT, OTR/L
Mailing Address - Street 1:20023 EVERETT LN
Mailing Address - Street 2:
Mailing Address - City:MOKENA
Mailing Address - State:IL
Mailing Address - Zip Code:60448-7765
Mailing Address - Country:US
Mailing Address - Phone:708-792-3180
Mailing Address - Fax:708-779-6644
Practice Address - Street 1:20023 EVERETT LN
Practice Address - Street 2:
Practice Address - City:MOKENA
Practice Address - State:IL
Practice Address - Zip Code:60448-7765
Practice Address - Country:US
Practice Address - Phone:708-792-3180
Practice Address - Fax:708-779-6644
Is Sole Proprietor?:No
Enumeration Date:2008-09-09
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056008451225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist