Provider Demographics
NPI:1164227146
Name:LAMMERS, ROBERTA JANE
Entity type:Individual
Prefix:
First Name:ROBERTA
Middle Name:JANE
Last Name:LAMMERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:643 S MINDEN AVE
Mailing Address - Street 2:
Mailing Address - City:MINDEN
Mailing Address - State:NE
Mailing Address - Zip Code:68959-2317
Mailing Address - Country:US
Mailing Address - Phone:308-832-2340
Mailing Address - Fax:
Practice Address - Street 1:643 S MINDEN AVE
Practice Address - Street 2:
Practice Address - City:MINDEN
Practice Address - State:NE
Practice Address - Zip Code:68959-2317
Practice Address - Country:US
Practice Address - Phone:308-832-2340
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-14
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant