Healthcare Provider Details

I. General information

NPI: 1417191842
Provider Name (Legal Business Name): CARMEN B LAMMEIER DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2009
Last Update Date: 05/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 25TH AVE S SUITE 400
MINNEAPOLIS MN
55454-1513
US

IV. Provider business mailing address

701 25TH AVE S SUITE 400
MINNEAPOLIS MN
55454-1513
US

V. Phone/Fax

Practice location:
  • Phone: 612-659-4900
  • Fax:
Mailing address:
  • Phone: 612-659-4900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License NumberD13166
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: