Doctor Name: | DR. JOHN LAWRENCE KRAUSE |
NPI Number: | 1063623676 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 23602 |
Business Practice Address: | 41 Conshohocken State Rd #703 Bala Cynwyd, PA - 190042438 |
Business Phone Number: | 6106642047 |
Business Fax Number: | |
Mailing Address: | 41 Conshohocken State Rd, #703 BALA CYNWYD |
State: | PA |
Postal Code: | 190042438 |
Phone Number: | 6106642047 |
Fax Number: | |
NPI Enumeration Date: | 05/25/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0122X |
License Number: | 23602 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Plastic and Reconstructive Surgery |
Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |