Provider Demographics
NPI:1124314968
Name:CRONE, LAUREN ALEXANDRA (DC)
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:ALEXANDRA
Last Name:CRONE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7526
Mailing Address - Street 2:
Mailing Address - City:TAHOE CITY
Mailing Address - State:CA
Mailing Address - Zip Code:96145-7526
Mailing Address - Country:US
Mailing Address - Phone:907-330-4779
Mailing Address - Fax:
Practice Address - Street 1:645 W LAKE BLVD
Practice Address - Street 2:SUITE #3
Practice Address - City:TAHOE CITY
Practice Address - State:CA
Practice Address - Zip Code:96145
Practice Address - Country:US
Practice Address - Phone:530-583-7475
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-20
Last Update Date:2019-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKCHI574111N00000X
CA34489111N00000X
AKT64111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor