Provider Demographics
NPI:1932346848
Name:STECKLER-KRAMER, LAVONNE KAY (PT)
Entity Type:Individual
Prefix:
First Name:LAVONNE
Middle Name:KAY
Last Name:STECKLER-KRAMER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2222 LAKESIDE VIEW CT
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-8481
Mailing Address - Country:US
Mailing Address - Phone:919-306-9933
Mailing Address - Fax:
Practice Address - Street 1:1001 SHELDON DR
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-2078
Practice Address - Country:US
Practice Address - Phone:919-345-9196
Practice Address - Fax:919-277-9942
Is Sole Proprietor?:No
Enumeration Date:2009-01-14
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5354225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist