Provider Demographics
NPI:1255345716
Name:SANTERAMO, LAWRENCE JOHN (ANP)
Entity type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:JOHN
Last Name:SANTERAMO
Suffix:
Gender:M
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4918 HIGHGATE DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-9418
Mailing Address - Country:US
Mailing Address - Phone:919-286-0411
Mailing Address - Fax:919-416-5831
Practice Address - Street 1:508 FULTON STREET
Practice Address - Street 2:MS116C
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-3601
Practice Address - Country:US
Practice Address - Phone:919-286-0411
Practice Address - Fax:919-416-5831
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2015-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC900446363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health