Provider Demographics
NPI:1518044270
Name:KRAMER, LORELLE LYNN (MD)
Entity Type:Individual
Prefix:DR
First Name:LORELLE
Middle Name:LYNN
Last Name:KRAMER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 N MAYFAIR RD
Mailing Address - Street 2:
Mailing Address - City:WAUWATOSA
Mailing Address - State:WI
Mailing Address - Zip Code:53226-4252
Mailing Address - Country:US
Mailing Address - Phone:414-771-2000
Mailing Address - Fax:414-771-2033
Practice Address - Street 1:620 N MAYFAIR RD
Practice Address - Street 2:
Practice Address - City:WAUWATOSA
Practice Address - State:WI
Practice Address - Zip Code:53226-4252
Practice Address - Country:US
Practice Address - Phone:414-771-2000
Practice Address - Fax:414-771-2033
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI36494-020174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist