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General NPI Number Information
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NPI Number | 1700360047
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Entity Type | Individual
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Provider Name | ROBERT EUGENE LAMMERS JR. PA-C
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Gender | Male
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Dates
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Enumeration Date | 09/22/2018
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 3801 BRIGHTON BLVD
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City | DENVER
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State | CO
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Zip | 80216-3625
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Country | US
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Telephone | 303-299-4528
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Fax |
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Provider Business Mailing Address
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Address Line | 1598 COUNTY ROAD 59
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City | KEENESBURG
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State | CO
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Zip | 80643-9424
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Country | US
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Telephone | 601-466-9595
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171000000X
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Taxonomy Name | Military Health Care Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA00437
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License Number State | MS
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Taxonomy #3
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA0008683
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License Number State | CO
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