Provider Demographics
NPI:1396854279
Name:LAMMERS CHIROPRACTIC CLINIC P.C.
Entity Type:Organization
Organization Name:LAMMERS CHIROPRACTIC CLINIC P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TONY
Authorized Official - Middle Name:W
Authorized Official - Last Name:LAMMERS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:605-673-2634
Mailing Address - Street 1:39 N 4TH ST
Mailing Address - Street 2:
Mailing Address - City:CUSTER
Mailing Address - State:SD
Mailing Address - Zip Code:57730-1529
Mailing Address - Country:US
Mailing Address - Phone:605-673-2634
Mailing Address - Fax:
Practice Address - Street 1:39 N 4TH ST
Practice Address - Street 2:
Practice Address - City:CUSTER
Practice Address - State:SD
Practice Address - Zip Code:57730-1529
Practice Address - Country:US
Practice Address - Phone:605-673-2634
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2009-04-29
Deactivation Date:2009-04-06
Deactivation Code:
Reactivation Date:2009-04-29
Provider Licenses
StateLicense IDTaxonomies
SD563111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty