Basic Information
Provider Information
NPI: 1710375290
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LAMMERS
FirstName: NATALIE
MiddleName:  
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Mailing Information
Address1: 951 COMMERCE PKWY
Address2: SUITE 101
City: LIMA
State: OH
PostalCode: 458044040
CountryCode: US
TelephoneNumber: 4199984575
FaxNumber: 4199984586
Practice Location
Address1: 951 COMMERCE PKWY
Address2: SUITE 100
City: LIMA
State: OH
PostalCode: 458044040
CountryCode: US
TelephoneNumber: 4192245915
FaxNumber: 4192245918
Other Information
ProviderEnumerationDate: 01/06/2015
LastUpdateDate: 01/04/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/04/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363A00000X  Y Physician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant 

No ID Information.


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