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Individual

DR. CHARLES J LAMMERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
1685 LEE RD, SUITE 200, WINTER PARK, FL 32789-2262
(407) 303-7991
(407) 303-7803
Mailing address
1685 LEE RD, SUITE 200, WINTER PARK, FL 32789-2262
(407) 303-7991
(407) 303-7803

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY5896
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
54522
BCBS
FL
01
680011065
RAILROAD MEDICARE
Enumeration date
07/11/2006
Last updated
04/30/2012
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