Healthcare Provider Details
I. General information
NPI: 1427258771
Provider Name (Legal Business Name): LESTER M. CRAMER, M.D. AND ASSOCIATES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/24/2007
Last Update Date: 07/24/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2203 N. WEBER ST.
COLORADO SPRINGS CO
80907-3979
US
IV. Provider business mailing address
2203 N. WEBER ST.
COLORADO SPRINGS CO
80907-3979
US
V. Phone/Fax
- Phone: 719-492-4188
- Fax:
- Phone: 719-492-4188
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208200000X |
| Taxonomy | Plastic Surgery Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
LESTER
MORRIS
CRAMER
Title or Position: PRESIDENT
Credential: M.D.
Phone: 71949242188