Healthcare Provider Details

I. General information

NPI: 1861456295
Provider Name (Legal Business Name): LISA KRONFELD HARRINGTON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2006
Last Update Date: 04/05/2024
Certification Date: 04/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 CROSSINGS BLVD
WARWICK RI
02886-2878
US

IV. Provider business mailing address

300 CROSSINGS BLVD
WARWICK RI
02886-2878
US

V. Phone/Fax

Practice location:
  • Phone: 401-777-7000
  • Fax: 401-738-3777
Mailing address:
  • Phone: 401-777-7000
  • Fax: 401-738-3777

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD09652
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD9652
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: