Healthcare Provider Details

I. General information

NPI: 1235978735
Provider Name (Legal Business Name): STEPHANIE LAMER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2024
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4650 W SUNSET BLVD # 69
LOS ANGELES CA
90027-6062
US

IV. Provider business mailing address

4850 HOLLYWOOD BLVD APT 510
LOS ANGELES CA
90027-3271
US

V. Phone/Fax

Practice location:
  • Phone: 541-553-3771
  • Fax:
Mailing address:
  • Phone: 541-553-3771
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberA199982
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207XP3100X
TaxonomyPediatric Orthopaedic Surgery Physician
License NumberA199982
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: