Provider Demographics
NPI:1790960755
Name:KRAMER, ALYSON LEE (LAC)
Entity Type:Individual
Prefix:
First Name:ALYSON
Middle Name:LEE
Last Name:KRAMER
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:360 ROUTE 101 STE 7
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03110-5030
Mailing Address - Country:US
Mailing Address - Phone:603-647-0600
Mailing Address - Fax:603-647-0633
Practice Address - Street 1:360 ROUTE 101 STE 7
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:NH
Practice Address - Zip Code:03110
Practice Address - Country:US
Practice Address - Phone:603-647-0600
Practice Address - Fax:603-647-0633
Is Sole Proprietor?:No
Enumeration Date:2008-01-08
Last Update Date:2019-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH138171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist