Healthcare Provider Details

I. General information

NPI: 1841669991
Provider Name (Legal Business Name): LORI LAMMERS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LORI LAMMERS FNP

II. Dates (important events)

Enumeration Date: 09/18/2015
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 NE MAIN AVE
IRRIGON OR
97844-6999
US

IV. Provider business mailing address

220 NE MAIN AVE
IRRIGON OR
97844-6999
US

V. Phone/Fax

Practice location:
  • Phone: 541-922-5880
  • Fax: 541-922-5881
Mailing address:
  • Phone: 541-922-5880
  • Fax: 541-922-5881

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP8093
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: