Provider Demographics
NPI:1548215734
Name:KRAMER, LAWRENCE D (DO)
Entity type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:D
Last Name:KRAMER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1340 TUSKAWILLA RD
Mailing Address - Street 2:SUITE 101-105
Mailing Address - City:WINTER SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32708-5030
Mailing Address - Country:US
Mailing Address - Phone:407-699-1160
Mailing Address - Fax:407-699-7861
Practice Address - Street 1:1340 TUSKAWILLA RD
Practice Address - Street 2:SUITE 101-105
Practice Address - City:WINTER SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32708-5030
Practice Address - Country:US
Practice Address - Phone:407-699-1160
Practice Address - Fax:407-699-7861
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2007-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS3878207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL82208OtherBCBS
FL82208XMedicare PIN
D60609Medicare UPIN