Healthcare Provider Details

I. General information

NPI: 1851575344
Provider Name (Legal Business Name): KIRK ANDREW LAMMI DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/20/2007
Last Update Date: 01/18/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4403 HARRISON BLVD STE 4650
OGDEN UT
84403-3271
US

IV. Provider business mailing address

PO BOX 5546
DENVER CO
80217-5546
US

V. Phone/Fax

Practice location:
  • Phone: 801-475-3240
  • Fax: 801-475-3241
Mailing address:
  • Phone: 801-475-3240
  • Fax: 801-475-3241

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number5101017553
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number7973279-1204
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: