Healthcare Provider Details

I. General information

NPI: 1801140488
Provider Name (Legal Business Name): LORI D PEARSON KRAMER CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/02/2012
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1223 S SAINT FRANCIS DR STE D
SANTA FE NM
87505-4053
US

IV. Provider business mailing address

1223 S SAINT FRANCIS DR STE D
SANTA FE NM
87505-4053
US

V. Phone/Fax

Practice location:
  • Phone: 505-577-6132
  • Fax: 505-365-6060
Mailing address:
  • Phone: 505-660-6603
  • Fax: 505-365-6060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number645
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number645
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: