Provider Demographics
NPI:1588942361
Name:LAMMERS, ROBERTA DEE (PTA)
Entity type:Individual
Prefix:MRS
First Name:ROBERTA
Middle Name:DEE
Last Name:LAMMERS
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 E FELBER ST
Mailing Address - Street 2:
Mailing Address - City:HARTINGTON
Mailing Address - State:NE
Mailing Address - Zip Code:68739-5019
Mailing Address - Country:US
Mailing Address - Phone:402-254-3342
Mailing Address - Fax:
Practice Address - Street 1:401 W DARLENE ST
Practice Address - Street 2:
Practice Address - City:HARTINGTON
Practice Address - State:NE
Practice Address - Zip Code:68739-4510
Practice Address - Country:US
Practice Address - Phone:402-254-3985
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-28
Last Update Date:2011-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE546208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation