Individual
WILLIAM GREGORY LAMMLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PAC0053
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266905600
—
MN
05
—
71083
—
ND
Enumeration date
07/17/2006
Last updated
10/17/2012
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