Provider Demographics
NPI:1275810061
Name:PAQUETTE, KAREN LEE (ND)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:LEE
Last Name:PAQUETTE
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 1:1710 S EL CAMINO REAL
Mailing Address - Street 2:#208E
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-4956
Mailing Address - Country:US
Mailing Address - Phone:760-402-2228
Mailing Address - Fax:
Practice Address - Street 1:100 S CEDROS AVE
Practice Address - Street 2:
Practice Address - City:SOLANA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92075-1915
Practice Address - Country:US
Practice Address - Phone:858-705-1727
Practice Address - Fax:858-774-4057
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-08
Last Update Date:2011-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND-478175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath