Provider Demographics
NPI:1215352117
Name:LAMMERT, ERICA AMELIA (RNFA)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:AMELIA
Last Name:LAMMERT
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6510 DEERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:MO
Mailing Address - Zip Code:63016-3447
Mailing Address - Country:US
Mailing Address - Phone:636-256-5278
Mailing Address - Fax:636-256-5385
Practice Address - Street 1:15945 CLAYTON RD
Practice Address - Street 2:SUITE 305
Practice Address - City:BALLWIN
Practice Address - State:MO
Practice Address - Zip Code:63011-2490
Practice Address - Country:US
Practice Address - Phone:636-256-5278
Practice Address - Fax:636-256-5385
Is Sole Proprietor?:No
Enumeration Date:2014-02-28
Last Update Date:2014-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2006024197163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant