Provider Demographics
NPI:1609855444
Name:LAMMERS, TONY W (DR)
Entity Type:Individual
Prefix:DR
First Name:TONY
Middle Name:W
Last Name:LAMMERS
Suffix:
Gender:M
Credentials:DR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-11
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD563111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD8159Medicare ID - Type UnspecifiedCHIROPRACTIC