Provider Demographics
NPI:1750661047
Name:LAMMERS, LINDA
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:LAMMERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9583 70TH ST S
Mailing Address - Street 2:
Mailing Address - City:SABIN
Mailing Address - State:MN
Mailing Address - Zip Code:56580-9558
Mailing Address - Country:US
Mailing Address - Phone:218-329-7442
Mailing Address - Fax:
Practice Address - Street 1:9583 70TH ST S
Practice Address - Street 2:
Practice Address - City:SABIN
Practice Address - State:MN
Practice Address - Zip Code:56580-9558
Practice Address - Country:US
Practice Address - Phone:218-329-7442
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-18
Last Update Date:2011-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor