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:
Health care specialties
Specialty | Code | License # | 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 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1841477726 | NPPES |
Louisiana | MEDICAID | 2164660 |
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