Provider Demographics
NPI:1295211969
Name:KARASEK, LAUREN NICHOLE (NP)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:NICHOLE
Last Name:KARASEK
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2315 DEAN ST
Mailing Address - Street 2:
Mailing Address - City:EUREKA
Mailing Address - State:CA
Mailing Address - Zip Code:95501-3208
Mailing Address - Country:US
Mailing Address - Phone:707-443-4563
Mailing Address - Fax:707-443-2527
Practice Address - Street 1:2316 HARRISON AVE
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95501-3217
Practice Address - Country:US
Practice Address - Phone:707-442-0478
Practice Address - Fax:707-443-2527
Is Sole Proprietor?:No
Enumeration Date:2018-07-16
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95009220363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily