Provider Demographics
NPI:1528051083
Name:LAMMERS, KEITH A (MD)
Entity type:Individual
Prefix:
First Name:KEITH
Middle Name:A
Last Name:LAMMERS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:199 ROUTE 101 PO BOX 1220
Mailing Address - Street 2:ELLIOT FAMILY MEDICINE AT AMHERST
Mailing Address - City:AMHERST
Mailing Address - State:NH
Mailing Address - Zip Code:03031
Mailing Address - Country:US
Mailing Address - Phone:603-249-3000
Mailing Address - Fax:603-249-3021
Practice Address - Street 1:MEETING PLACE PLAZA 199 ROUTE 101
Practice Address - Street 2:ELLIOT FAMILY MEDICINE AT AMHERST
Practice Address - City:AMHERST
Practice Address - State:NH
Practice Address - Zip Code:03031
Practice Address - Country:US
Practice Address - Phone:603-249-3000
Practice Address - Fax:603-249-3021
Is Sole Proprietor?:No
Enumeration Date:2005-08-30
Last Update Date:2007-08-10
Deactivation Date:2007-07-17
Deactivation Code:
Reactivation Date:2007-08-10
Provider Licenses
StateLicense IDTaxonomies
NH6348207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHE11285OtherHPHC PIN
NH080147627OtherRR MEDICARE PIN
NH406449OtherTUFTS PIN
NH0102369YPNH01OtherANTHEM ACES PIN
NH0140466OtherUHC PIN
NH2177666OtherAETNA HMO PIN
NH2490OtherCIGNA HMO PIN
NHE11285OtherUPIN/RAN FOR ANTHEM
NH41080903Medicaid
NHE11285OtherHPHC PIN
NH2177666OtherAETNA HMO PIN