Provider Demographics
NPI:1104088012
Name:LAMACH, KAREN E (OD)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:E
Last Name:LAMACH
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:KAREN
Other - Middle Name:E
Other - Last Name:GOODWIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:56 W EAGLE RD
Mailing Address - Street 2:
Mailing Address - City:HAVERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19083-1447
Mailing Address - Country:US
Mailing Address - Phone:610-449-4336
Mailing Address - Fax:610-446-1735
Practice Address - Street 1:56 W EAGLE RD
Practice Address - Street 2:
Practice Address - City:HAVERTOWN
Practice Address - State:PA
Practice Address - Zip Code:19083-1447
Practice Address - Country:US
Practice Address - Phone:610-449-4336
Practice Address - Fax:610-446-1735
Is Sole Proprietor?:No
Enumeration Date:2008-07-01
Last Update Date:2012-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG002067152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA129597Medicare PIN