Provider Demographics
NPI:1386988053
Name:LAMMERT, DANIELLE RAE (PHARMD, RPH)
Entity type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:RAE
Last Name:LAMMERT
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3801 E WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53704-3648
Mailing Address - Country:US
Mailing Address - Phone:608-244-4991
Mailing Address - Fax:608-244-5824
Practice Address - Street 1:3801 E WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53704-3648
Practice Address - Country:US
Practice Address - Phone:608-244-4991
Practice Address - Fax:608-244-5824
Is Sole Proprietor?:No
Enumeration Date:2012-11-19
Last Update Date:2012-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI16666-40183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist