Organization
LISA B. KREMER, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY THRASHER (BILLER)
(707) 535-4330
Entity
Organization
Contact information
Practice address
4725-A HOEN AVE, SANTA ROSA, CA 95405-7862
(707) 576-3322
Mailing address
PO BOX 3669, SANTA ROSA, CA 95402-3669
(707) 535-4330
(707) 535-4311
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
G076815
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841494275
—
CA
Enumeration date
06/11/2007
Last updated
03/04/2009
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