Physician Compare National (NPI:1245631175)

HEALTHCARE PROVIDER: LAUREN KRUG PH.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1245631175
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2769705094
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20141217002383
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KRUG
	Individual professional last name
Provider First Name	LAUREN
	Individual professional first name
Provider Middle Name	RAE
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2007
	Individual professional's medical school graduation year
Primary Specialty	PSYCHOLOGIST, CLINICAL
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	4732 SPRUCE ST
	Group Practice or individual's line 1 address
City	PHILADELPHIA
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	191394427
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y