Gordon, Diane Kramer

Gordon, Diane Kramer is an individual health care provider with primary practice located at 500 Patterson St , Lafayette LA 70501-1849. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Gordon, Diane Kramer can be contacted via phone (337) 439-9983.

Contact Information

Primary practice address
500 Patterson St Lafayette LA 70501-1849
Phone: (337) 439-9983
Fax: (337) 310-1161
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0024000058 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP06671 Louisiana

Profile Details

NPI number 1841477726
LBN Legal business name Gordon, Diane Kramer
Credentials R.N.,M.S.N.,C.P.N.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2008
Last updated Jun 9th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841477726 NPPES
Louisiana MEDICAID 2164660

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