# LISA R KROOPF MD A PROFESSIONAL MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386261519
- **Authorized official:** LISA KROOPF MD (PHYSICIAN)
- **Authorized official phone:** (831) 901-3940

## Contact information

- **Practice address:** 172 EL DORADO ST, MONTEREY, CA 93940-3118
- **Practice address phone:** (831) 901-3940
- **Practice address fax:** (831) 901-3939
- **Mailing address:** 172 EL DORADO ST, MONTEREY, CA 93940-3118
- **Mailing address phone:** (831) 901-3940
- **Mailing address fax:** (831) 901-3939

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/04/2020
- **Last updated:** 11/19/2024