MEDICARE: DR. DEBORAH DANIELLE LOMMEL DNP

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	163W00000X	Registered Nurse	2495763	MN

General Provider Information

NPI Number	:	1386577260
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEBORAH DANIELLE LOMMEL DNP

Provider Business Mailing Address
First Line	:	11550 ARBOR LAKES PKWY N UNIT 1169
Second Line	:
City	:	MAPLE GROVE
State	:	MN
Zip	:	55369-2242
Country	:	US
Telephone Number	:	612-865-5599
Fax Number	:

Provider Business Practice Location Address
First Line	:	11550 ARBOR LAKES PKWY N UNIT 1169
Second Line	:
City	:	MAPLE GROVE
State	:	MN
Zip	:	55369-2242
Country	:	US
Telephone Number	:	612-865-5599
Fax Number	:

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

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

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