Healthcare Provider Details

I. General information

NPI: 1275525032
Provider Name (Legal Business Name): JONATHON V LAMMERS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2005
Last Update Date: 07/03/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 E MAIN ST
CLIFTON SPRINGS NY
14432
US

IV. Provider business mailing address

350 PARRISH STREET
CANANDAIGUA NY
14424-1731
US

V. Phone/Fax

Practice location:
  • Phone: 315-462-0586
  • Fax: 315-462-7078
Mailing address:
  • Phone: 585-396-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number298341
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number35.093342
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: