Healthcare Provider Details

I. General information

NPI: 1952381295
Provider Name (Legal Business Name): LAWRENCE E KRAMER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/20/2006
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4343 N 16TH ST
PHOENIX AZ
85016-5338
US

IV. Provider business mailing address

444 W OSBORN RD STE 200
PHOENIX AZ
85013-3817
US

V. Phone/Fax

Practice location:
  • Phone: 26-223-1711
  • Fax: 602-780-0881
Mailing address:
  • Phone: 602-223-1711
  • Fax: 602-780-0881

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number21710
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: