Individual
MRS. LISA M KRAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
16120 W DODGE RD, OMAHA, NE 68118-2049
(402) 354-0410
(402) 354-0415
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-5451
(402) 354-5454
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2019
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025895900
—
NE
05
—
10025896000
—
NE
05
—
10025896100
—
NE
05
—
10025941700
—
NE
05
—
10026056700
—
NE
05
—
10026252200
—
NE
05
—
1002644550
—
NE
05
—
1992880603
—
IA
Enumeration date
10/25/2006
Last updated
09/27/2016
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