Provider Demographics
NPI:1558354118
Name:LOMMERSE, FRANCIS JOHN (OT)
Entity Type:Individual
Prefix:MR
First Name:FRANCIS
Middle Name:JOHN
Last Name:LOMMERSE
Suffix:
Gender:M
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:676 MIAMI ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:TIFFIN
Mailing Address - State:OH
Mailing Address - Zip Code:44883-1934
Mailing Address - Country:US
Mailing Address - Phone:419-448-5533
Mailing Address - Fax:419-448-5559
Practice Address - Street 1:676 MIAMI ST
Practice Address - Street 2:SUITE A
Practice Address - City:TIFFIN
Practice Address - State:OH
Practice Address - Zip Code:44883-1934
Practice Address - Country:US
Practice Address - Phone:419-448-5533
Practice Address - Fax:419-448-5559
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT03548225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
4145981Medicare ID - Type Unspecified