Provider Demographics
NPI:1184694465
Name:LAMMERS, DARLA E (DC)
Entity type:Individual
Prefix:
First Name:DARLA
Middle Name:E
Last Name:LAMMERS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 DR THATYE DR
Mailing Address - Street 2:PO BOX 132
Mailing Address - City:GLANDORF
Mailing Address - State:OH
Mailing Address - Zip Code:45848
Mailing Address - Country:US
Mailing Address - Phone:419-538-7500
Mailing Address - Fax:419-538-7388
Practice Address - Street 1:108 DR THATYE DR
Practice Address - Street 2:
Practice Address - City:GLANDORF
Practice Address - State:OH
Practice Address - Zip Code:45848
Practice Address - Country:US
Practice Address - Phone:419-538-7500
Practice Address - Fax:419-538-7388
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2935111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHDA4030481Medicare ID - Type Unspecified