Provider Demographics
NPI:1780699454
Name:LAMMERT, JOYCE K (MD)
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:K
Last Name:LAMMERT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 9TH AVE
Mailing Address - Street 2:MS:M4-PA
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-2756
Mailing Address - Country:US
Mailing Address - Phone:206-515-5811
Mailing Address - Fax:
Practice Address - Street 1:1100 9TH AVE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-2756
Practice Address - Country:US
Practice Address - Phone:206-223-6600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-30
Last Update Date:2012-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00023925207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAMD925WAOtherALASKA MEDICAID
WA4708LAOtherBLUE SHIELD
WA1031194Medicaid
WAUS0818841OtherAETNA/USHC PCP
WA030003987OtherRAILROAD MEDICARE
WAUS0899590OtherAETNA/USHC SPECIALIST
WA1031194Medicaid
WA8905130Medicare PIN
WAMD925WAOtherALASKA MEDICAID
WA8899052Medicare PIN