Individual
CRAIG S LAMMERT
Active
Individual
CRAIG S LAMMERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
002875
GA
207R00000X
Internal Medicine Physician
01073479A
IN
207RG0100X
Gastroenterology Physician
Primary
01073479A
IN
207RG0100X
Gastroenterology Physician
104934
MN
207RG0100X
Gastroenterology Physician
53384
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000864711
ANTHEM PTAN
IN
01
—
002875
TMP
GA
05
—
201208270
—
IN
05
—
ENROLLED
—
MN
01
—
P00849731
MEDICARE RAILROAD
MN
Enumeration date
01/15/2008
Last updated
03/13/2025
Update your record
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