Individual
MS. LAUREN SARAH KRAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
085-003639
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085003639
—
IL
01
—
1632283
BLUE CROSS BLUE SHIELD
IL
Enumeration date
12/07/2009
Last updated
03/04/2010
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