Provider Demographics
NPI:1497793111
Name:KRON, LAWRENCE (PHD)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:
Last Name:KRON
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 HURON AVE
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-6705
Mailing Address - Country:US
Mailing Address - Phone:617-448-6237
Mailing Address - Fax:617-714-3620
Practice Address - Street 1:545 CONCORD AVE
Practice Address - Street 2:SUITE 320
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-1125
Practice Address - Country:US
Practice Address - Phone:617-448-6237
Practice Address - Fax:617-714-3620
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-03
Last Update Date:2015-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8151103TC0700X
MI6301005298103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIOF33337OtherBLUE CROSS BLUE SHIELD
MAW06281OtherBLUE CROSS BLUE SHIELD
MI0P23110Medicare ID - Type Unspecified
MIOF33337OtherBLUE CROSS BLUE SHIELD