MEDICARE: TIFFANY AMBER LAMMON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	237700000X	Hearing Instrument Specialist	HADF1323	OK

General Provider Information

NPI Number	:	1235804154
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIFFANY AMBER LAMMON

Provider Business Mailing Address
First Line	:	2501 COTTONTAIL LN
Second Line	:
City	:	SOMERSET
State	:	NJ
Zip	:	08873-5125
Country	:	US
Telephone Number	:	844-836-5003
Fax Number	:

Provider Business Practice Location Address
First Line	:	2230 SE WASHINGTON BLVD
Second Line	:
City	:	BARTLESVILLE
State	:	OK
Zip	:	74006-7100
Country	:	US
Telephone Number	:	918-331-0899
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/12/2021
Last Update Date	:	08/12/2021

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Directions to “ TIFFANY AMBER LAMMON ” Practice Location

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