Provider Demographics
NPI:1548383151
Name:KRAMER, PATRICIA (LAC, DIPL OF ACUPU)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:KRAMER
Suffix:
Gender:F
Credentials:LAC, DIPL OF ACUPU
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1440 GREENBRIAR CIR
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-3751
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1440 GREENBRIAR CIR
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21208-3751
Practice Address - Country:US
Practice Address - Phone:410-484-2020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDMD U01078208D00000X
PAPA KO000582208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice