Provider Demographics
NPI:1407822125
Name:KROL, LAWRENCE C (MD)
Entity type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:C
Last Name:KROL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2550 DELAWARE AVE
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14216-1721
Mailing Address - Country:US
Mailing Address - Phone:716-884-0230
Mailing Address - Fax:716-884-2415
Practice Address - Street 1:341 ENGLEWOOD AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14223-2819
Practice Address - Country:US
Practice Address - Phone:716-833-2333
Practice Address - Fax:716-833-3972
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-23
Last Update Date:2013-03-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY154463208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01842777Medicaid