Provider Demographics
NPI:1861456295
Name:HARRINGTON, LISA KRONFELD (MD)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:KRONFELD
Last Name:HARRINGTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 CROSSINGS BLVD
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-2878
Mailing Address - Country:US
Mailing Address - Phone:401-777-7000
Mailing Address - Fax:401-738-3777
Practice Address - Street 1:300 CROSSINGS BLVD
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-2878
Practice Address - Country:US
Practice Address - Phone:401-777-7000
Practice Address - Fax:401-738-3777
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD9652207V00000X
RIMD09652207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI1861456295OtherDURABLE
RI322999OtherRI BLUE CROSS
RI401787OtherRI BLUE CHIP
RI1861456295OtherDURABLE
119021052Medicare ID - Type Unspecified
RI322999OtherRI BLUE CROSS