Application form for midwife practice – Praxis Lemm Berlin

This post is also available in: Deutsch (German)

Praxis Lemm | Bötzowstraße 10 | 10407 Berlin - Prenzlauer Berg | Telephone: 030 45306785

Contact form for Midwife practice

Please fill out the fields marked with a *

first name*:

family name*:

telephone*:

Street / no.

Postcode / Town

e-mail*:

Date of birth*:

Due date*:

New patient*:

Appointment for*:

Primary reason for you visit*:

Desired date*:

Urgency of your problem*:

week of pregnancy*:

Preferred date*:

(Please enter a date and time or "flexible".)
Type of insurance

Type of insurance*:

Name of Health Insurance*:

Comment:

I agree to the processing and the forwarding of the information I entered above. I can withdraw my consent at any time with immediate effect.

Office hours

Mon - Fri: 9 a.m. - 7 p.m.
only with appointment

Availability
On site
by telephone 030 45306785
or by online appointment

publishing information:

address:
Praxis Lemm
Bötzowstraße 10
10407 Berlin - Prenzlauer Berg

telephone:
030 45306785

telefax:
030 45306786

website:
http://www.allergie-weg-berlin.de/

e-mail:
info@berliner-akupunkturpraxis.de

official firm:
Praxis Lemm

responsible:
Dr. med. Vesna Lemm / Owner / Family doctor, internal medicine, holistic medicine,acupuncture and midwife
bank details:
IBAN: DE63 3006 0601 0207 0269 00
BIC: DAAEDEDDXXX

title:
Medical Doctor

Licensed by the Medical Association of Berlin
www.aerztekammer-berlin.de

title:
Midwife

Supervisory authority:
Landesamt für Gesundheit und Soziales Berlin

Licensed by Bundesrepublik Deutschland in Mettman (NRW)

powered by:
city-map Landkreis Stade

disclaimer of liabilty

Praxis Lemm

Application form for midwife practice – Praxis Lemm Berlin

Praxis Lemm | Bötzowstraße 10 | 10407 Berlin - Prenzlauer Berg | Telephone: 030 45306785

Contact form for Midwife practice

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publishing information:

berliner-admin