MEDICARE: LAWRENCE D KRAMER DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	OS3878	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	82208	OTHER	FL	BCBS

General Provider Information

NPI Number	:	1548215734
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAWRENCE D KRAMER DO

Provider Business Mailing Address
First Line	:	1340 TUSKAWILLA RD
Second Line	:	SUITE 101-105
City	:	WINTER SPRINGS
State	:	FL
Zip	:	32708-5030
Country	:	US
Telephone Number	:	407-699-1160
Fax Number	:	407-699-7861

Provider Business Practice Location Address
First Line	:	1340 TUSKAWILLA RD
Second Line	:	SUITE 101-105
City	:	WINTER SPRINGS
State	:	FL
Zip	:	32708-5030
Country	:	US
Telephone Number	:	407-699-1160
Fax Number	:	407-699-7861

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2006
Last Update Date	:	08/17/2007

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