Provider Demographics
NPI:1912533142
Name:LAMMIE, DONNA-SUE (NP)
Entity Type:Individual
Prefix:
First Name:DONNA-SUE
Middle Name:
Last Name:LAMMIE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 37086
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21297-3086
Mailing Address - Country:US
Mailing Address - Phone:404-392-8913
Mailing Address - Fax:
Practice Address - Street 1:100 OAK LEE DR
Practice Address - Street 2:
Practice Address - City:RANSON
Practice Address - State:WV
Practice Address - Zip Code:25438-4879
Practice Address - Country:US
Practice Address - Phone:304-930-0001
Practice Address - Fax:681-252-1843
Is Sole Proprietor?:No
Enumeration Date:2020-03-19
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV105442363LF0000X
MDR209729363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily