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Individual

LISA B KREMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4725 HOEN AVE STE A, SANTA ROSA, CA 95405-9405
(707) 576-3322
(707) 576-3323
Mailing address
PO BOX 254947, SACRAMENTO, CA 95865-4947
(916) 854-6975
(916) 854-6844

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
G076815
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G768151
CA
01
1841494275
GROUP NPI
01
943412643
BLUE CROSS
CA
Enumeration date
06/12/2006
Last updated
01/06/2012
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