Provider Demographics
NPI:1144403155
Name:CHRISTENSEN, KAREN M (LAC)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:M
Last Name:CHRISTENSEN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 THE VLG UNIT 104
Mailing Address - Street 2:
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90277-2754
Mailing Address - Country:US
Mailing Address - Phone:805-453-6485
Mailing Address - Fax:
Practice Address - Street 1:1924B E MAPLE AVE
Practice Address - Street 2:
Practice Address - City:EL SEGUNDO
Practice Address - State:CA
Practice Address - Zip Code:90245-3411
Practice Address - Country:US
Practice Address - Phone:310-546-6863
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-12
Last Update Date:2008-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC11358171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist