Provider Demographics
NPI:1063748697
Name:LA, KAREN H (ND)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:H
Last Name:LA
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:5035 NE 4TH PL
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98059-5779
Mailing Address - Country:US
Mailing Address - Phone:206-351-5791
Mailing Address - Fax:425-629-6202
Practice Address - Street 1:8201 164TH AVE NE
Practice Address - Street 2:SUITE 200
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-7604
Practice Address - Country:US
Practice Address - Phone:425-306-6235
Practice Address - Fax:425-629-6202
Is Sole Proprietor?:No
Enumeration Date:2009-11-02
Last Update Date:2010-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT60088404175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath