Provider Demographics
NPI:1699804906
Name:BRAGA, KAREN BETH (ND)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:BETH
Last Name:BRAGA
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:442 MARRETT RD STE 8
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02421-7749
Mailing Address - Country:US
Mailing Address - Phone:617-460-5098
Mailing Address - Fax:
Practice Address - Street 1:442 MARRETT RD
Practice Address - Street 2:SUITE 8
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02421-7725
Practice Address - Country:US
Practice Address - Phone:781-274-6190
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-04
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000219175F00000X
MAND0016175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath