Provider Demographics
NPI:1225584832
Name:STRECKER, KAREN (LAC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:STRECKER
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 1:315A 29TH STREET
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94131-2304
Mailing Address - Country:US
Mailing Address - Phone:415-225-8556
Mailing Address - Fax:415-282-3773
Practice Address - Street 1:315A 29TH ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94131-2304
Practice Address - Country:US
Practice Address - Phone:415-225-8556
Practice Address - Fax:415-282-3773
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC4195171100000X
NY005703171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist