Provider Demographics
NPI:1801140488
Name:PEARSON KRAMER, LORI D (CNM)
Entity type:Individual
Prefix:MS
First Name:LORI
Middle Name:D
Last Name:PEARSON KRAMER
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:901 W ALAMEDA ST
Mailing Address - Street 2:STE 25
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87501-1673
Mailing Address - Country:US
Mailing Address - Phone:505-988-8869
Mailing Address - Fax:505-982-7321
Practice Address - Street 1:901 W ALAMEDA ST STE 25
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87501-1673
Practice Address - Country:US
Practice Address - Phone:505-577-6132
Practice Address - Fax:505-982-6298
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-02
Last Update Date:2019-11-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NM645367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife