| Lauren Krug, Ph.d., Llc | |
|
255 S 17th St Ste 1606 Philadelphia PA 19103-6216 | |
| (215) 648-2466 | |
| Not Available |
| Full Name | Lauren Krug, Ph.d., Llc |
|---|---|
| Speciality | Psychologist |
| Location | 255 S 17th St Ste 1606, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Lauren Rae Krug (PSYCHOLOGIST) |
| Authorized Official Contact | 2156482466 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lauren Krug, Ph.d., Llc 4336 Pine St Philadelphia PA 19104-3920 Ph: () - | Lauren Krug, Ph.d., Llc 255 S 17th St Ste 1606 Philadelphia PA 19103-6216 Ph: (215) 648-2466 |
| NPI Number | 1386139269 |
|---|---|
| Provider Enumeration Date | 06/25/2018 |
| Last Update Date | 12/11/2019 |
| Certification Date | 12/11/2019 |
| Medicare PECOS PAC ID | 0941551204 |
|---|---|
| Medicare Enrollment ID | O20180925003947 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386139269 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lauren Rae Krug |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245631175 PECOS PAC ID: 2769705094 Enrollment ID: I20141217002383 |
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