Healthcare Provider Details

I. General information

NPI: 1255071775
Provider Name (Legal Business Name): CARA LAMMERS VACHON DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CARA SUZANNE LAMMERS DO

II. Dates (important events)

Enumeration Date: 03/31/2022
Last Update Date: 03/14/2023
Certification Date: 03/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4150 V ST PSSB-SUITE 1200
SACRAMENTO CA
95817
US

IV. Provider business mailing address

4150 V ST PSSB-SUITE 1200
SACRAMENTO CA
95817
US

V. Phone/Fax

Practice location:
  • Phone: 916-734-5028
  • Fax:
Mailing address:
  • Phone: 916-734-5028
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: