Provider Demographics
NPI:1669469540
Name:KROON, LISA A (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:A
Last Name:KROON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:533 PARNASSUS AVE, U-503, BOX 0622
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-0622
Mailing Address - Country:US
Mailing Address - Phone:415-476-1687
Mailing Address - Fax:415-476-6632
Practice Address - Street 1:533 PARNASSUS AVE, U-503, BOX 0622
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-0622
Practice Address - Country:US
Practice Address - Phone:415-476-1687
Practice Address - Fax:415-476-6632
Is Sole Proprietor?:No
Enumeration Date:2005-10-05
Last Update Date:2016-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA477371835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist