Healthcare Provider Details

I. General information

NPI: 1689503104
Provider Name (Legal Business Name): LAUREN MARIE KRAMER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

709 W. MAIN STREET
MANCHESTER IA
52057
US

IV. Provider business mailing address

103 1ST ST NW
EPWORTH IA
52045
US

V. Phone/Fax

Practice location:
  • Phone: 563-927-3232
  • Fax:
Mailing address:
  • Phone: 563-542-9223
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number167377
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: