Provider Demographics
NPI:1699091249
Name:WRIGHT, KAREN LOUISE (MTCM, LAC)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:LOUISE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MTCM, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 N SUNRISE AVE STE 1308
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-2933
Mailing Address - Country:US
Mailing Address - Phone:818-825-3788
Mailing Address - Fax:916-742-5942
Practice Address - Street 1:151 N SUNRISE AVE STE 1308
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661
Practice Address - Country:US
Practice Address - Phone:818-825-3788
Practice Address - Fax:916-742-5942
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-07
Last Update Date:2018-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13129171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist