MEDICARE: LAUREN KRUG, PH.D., LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1386139269
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAUREN KRUG, PH.D., LLC

Provider Business Mailing Address
First Line	:	4336 PINE ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104-3920
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	255 S 17TH ST STE 1606
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19103-6216
Country	:	US
Telephone Number	:	215-648-2466
Fax Number	:

Authorized Official
Title or Position	:	PSYCHOLOGIST
Name	:	DR. LAUREN RAE KRUG
Credential	:	PH.D.
Telephone Number	:	215-648-2466

Provider Enumeration Date	:	06/25/2018
Last Update Date	:	12/11/2019

Similar Medicare Providers

1972509552 — DR. RICHARD BRUCE MISHER DDS
Practice Location Address:

255 S 17TH ST , STE 1609
PHILADELPHIA, PA
19103-6216

Practice Phone: 215-735-5183
Practice Fax:

1942645783 — STEPHANIE A. CROSS MD
Practice Location Address:

255 S 17TH ST STE 1608
PHILADELPHIA, PA
19103-6216

Practice Phone: 267-270-5365
Practice Fax: 877-991-3132

1245631175 — DR. LAUREN KRUG PH.D.
Practice Location Address:

255 S 17TH ST STE 1606
PHILADELPHIA, PA
19103-6216

Practice Phone: 215-648-2466
Practice Fax:

1285038851 — CHRISTIN ANN GREGORY DSW, LCSW
Practice Location Address:

255 S 17TH ST STE 1605
PHILADELPHIA, PA
19103-6216

Practice Phone: 215-701-9420
Practice Fax:

1649634817 — DR. PAUL JOSEPH RESIGNATO MD
Practice Location Address:

255 S 17TH ST STE 1608
PHILADELPHIA, PA
19103-6216

Practice Phone: 484-321-1697
Practice Fax: 844-868-8138

1548745813 — MARGARET COLEMAN
Practice Location Address:

255 S 17TH ST STE 1601
PHILADELPHIA, PA
19103-6216

Practice Phone: 267-571-7615
Practice Fax: 610-668-8609

Directions to “LAUREN KRUG, PH.D., LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.