Healthcare Provider Details

I. General information

NPI: 1982653242
Provider Name (Legal Business Name): THOMAS G LAMMY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2006
Last Update Date: 03/10/2020
Certification Date: 03/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

93 W 4TH ST STE C
SUTTONS BAY MI
49682-8408
US

IV. Provider business mailing address

PO BOX 397
SUTTONS BAY MI
49682-0397
US

V. Phone/Fax

Practice location:
  • Phone: 231-271-5990
  • Fax: 231-271-5959
Mailing address:
  • Phone: 231-271-5990
  • Fax: 231-271-5959

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberTL047970
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: