Healthcare Provider Details

I. General information

NPI: 1669798807
Provider Name (Legal Business Name): LYNDSEY KRAMP M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2010
Last Update Date: 11/28/2022
Certification Date: 11/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6060 N FOUNTAIN PLAZA DR STE 270
TUCSON AZ
85704-7873
US

IV. Provider business mailing address

6060 N FOUNTAIN PLAZA DR STE 270
TUCSON AZ
85704-7873
US

V. Phone/Fax

Practice location:
  • Phone: 520-229-2578
  • Fax: 520-229-2561
Mailing address:
  • Phone: 520-229-2578
  • Fax: 520-229-2561

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberE8077
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number65989
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: