Provider Demographics
NPI:1568014405
Name:MICHELLE L. LAMERS, D.D.S, L.L.C.
Entity Type:Organization
Organization Name:MICHELLE L. LAMERS, D.D.S, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:LAMERS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:414-529-4040
Mailing Address - Street 1:7111 S 76 STREET
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:WI
Mailing Address - Zip Code:53132
Mailing Address - Country:US
Mailing Address - Phone:414-529-4040
Mailing Address - Fax:414-529-0273
Practice Address - Street 1:7111 S 76 STREET
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:WI
Practice Address - Zip Code:53132
Practice Address - Country:US
Practice Address - Phone:414-529-4040
Practice Address - Fax:414-529-0273
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-11
Last Update Date:2019-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty