Provider Demographics
NPI:1093278285
Name:LAMMERS, STEPHEN HENRY THOMAS (MD)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:HENRY THOMAS
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 1:455 TOLL GATE RD
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-2759
Mailing Address - Country:US
Mailing Address - Phone:401-273-0641
Mailing Address - Fax:
Practice Address - Street 1:2 DUDLEY STREET SUITE 580
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02905-3244
Practice Address - Country:US
Practice Address - Phone:401-274-1122
Practice Address - Fax:401-453-7684
Is Sole Proprietor?:No
Enumeration Date:2019-04-13
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD19687207LC0200X, 207V00000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207LC0200XAllopathic & Osteopathic PhysiciansAnesthesiologyCritical Care Medicine