Provider Demographics
NPI:1437386869
Name:HAMMER, ALANA POLLACK (LAC)
Entity Type:Individual
Prefix:MRS
First Name:ALANA
Middle Name:POLLACK
Last Name:HAMMER
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6789 N GREEN BAY AVE
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:WI
Mailing Address - Zip Code:53209-3472
Mailing Address - Country:US
Mailing Address - Phone:414-813-4747
Mailing Address - Fax:
Practice Address - Street 1:6789 N GREEN BAY AVE
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:WI
Practice Address - Zip Code:53209-3472
Practice Address - Country:US
Practice Address - Phone:414-813-4747
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-11
Last Update Date:2015-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12950171100000X
WI112677171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist