Provider Demographics
NPI:1316959851
Name:KRAMER, LAURA ANN (RDN)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:ANN
Last Name:KRAMER
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:
Other - Last Name:SAMUELS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:6385 RED OAK DR
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:IN
Mailing Address - Zip Code:46123
Mailing Address - Country:US
Mailing Address - Phone:317-675-6040
Mailing Address - Fax:
Practice Address - Street 1:6385 RED OAK DR
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:IN
Practice Address - Zip Code:46123
Practice Address - Country:US
Practice Address - Phone:317-675-6040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-13
Last Update Date:2025-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN951581133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered