MEDICARE: LORI A KRAMER MD

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
1	207V00000X	Obstetrics & Gynecology Physician	2007007213	MO

General Provider Information

NPI Number	:	1881810513
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORI A KRAMER MD

Provider Business Mailing Address
First Line	:	SAINT LUKE'S PECBO PAYOR ENROLLMENT
Second Line	:	901 E 104TH ST., MAILSTOP 400S
City	:	KANSAS CITY
State	:	MO
Zip	:	64131-4517
Country	:	US
Telephone Number	:	816-599-9499
Fax Number	:	816-932-9670

Provider Business Practice Location Address
First Line	:	5844 NW BARRY RD STE 310
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64154-1421
Country	:	US
Telephone Number	:	816-880-1025
Fax Number	:	816-251-5930

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2007
Last Update Date	:	07/13/2020

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