Provider Demographics
NPI:1841530326
Name:KROLL, LISA DANIELLE (DC)
Entity type:Individual
Prefix:MRS
First Name:LISA
Middle Name:DANIELLE
Last Name:KROLL
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 1:77 TARRYTOWN RD
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10607-1639
Mailing Address - Country:US
Mailing Address - Phone:914-421-1059
Mailing Address - Fax:914-421-1690
Practice Address - Street 1:77 TARRYTOWN RD
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10607-1639
Practice Address - Country:US
Practice Address - Phone:845-554-8660
Practice Address - Fax:914-421-1059
Is Sole Proprietor?:No
Enumeration Date:2013-02-21
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013278111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor