Samuel    Lammers    DC
Contract Details
Facility name
Provider ID
P000003913
NPI
1154300184
Tax ID
202723294
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
1799 Hwy 71 North
Okoboji, IA 51355
United States
County
Dickinson
Phone
7123327775 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address