Healthcare Provider Details

I. General information

NPI: 1831708619
Provider Name (Legal Business Name): LAURA GERACE CRAMER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAURA GERACE DMD

II. Dates (important events)

Enumeration Date: 07/28/2020
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 HECTOR CONNOLY RD STE 2
CARENCRO LA
70520-6351
US

IV. Provider business mailing address

123 GABLE CREST DR
LAFAYETTE LA
70508-7647
US

V. Phone/Fax

Practice location:
  • Phone: 337-565-2580
  • Fax:
Mailing address:
  • Phone: 337-290-1493
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number7122
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: