Provider Demographics
NPI:1750833521
Name:LAMM, LENETTE (RN)
Entity Type:Individual
Prefix:
First Name:LENETTE
Middle Name:
Last Name:LAMM
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:159 MARCHANT DR
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22406-4743
Mailing Address - Country:US
Mailing Address - Phone:540-709-1326
Mailing Address - Fax:540-595-3712
Practice Address - Street 1:159 MARCHANT DR
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22406-4743
Practice Address - Country:US
Practice Address - Phone:540-709-1326
Practice Address - Fax:540-595-3712
Is Sole Proprietor?:No
Enumeration Date:2016-10-27
Last Update Date:2016-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001248788163W00000X, 163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health