Provider Demographics
NPI:1063284297
Name:PRASKEVICIUTE, KAROLINA (MD)
Entity type:Individual
Prefix:
First Name:KAROLINA
Middle Name:
Last Name:PRASKEVICIUTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 S FLOWER ST APT 1011
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90017-4653
Mailing Address - Country:US
Mailing Address - Phone:646-620-1540
Mailing Address - Fax:
Practice Address - Street 1:SAVANORIU PR. 123
Practice Address - Street 2:
Practice Address - City:KAUNAS
Practice Address - State:LITHUANIA
Practice Address - Zip Code:44146
Practice Address - Country:LT
Practice Address - Phone:646-620-1540
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-23
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZMPL-23661207R00000X
171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No171400000XOther Service ProvidersHealth & Wellness Coach