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NPI Code Detail

MEDICARE: MS. LISA KRAMER LSW

MEDICARE: MS. LISA KRAMER LSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerSW010889LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1SW010889LOTHERPALICENSED SOCIAL WORKER

General Provider Information

NPI Number : 1740306141
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LISA KRAMER LSW
Provider Business Mailing Address
First Line : 49 UPLAND RD
Second Line :
City : LEVITTOWN
State : PA
Zip : 19056-2609
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2055 E ALLEGHENY AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19134-3832
Country : US
Telephone Number : 215-427-5800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2007
Last Update Date : 03/11/2013

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