Provider Demographics
NPI:1326674938
Name:KARLSON, KRISTINA LAKE MUNKHOLM (MD)
Entity Type:Individual
Prefix:DR
First Name:KRISTINA
Middle Name:LAKE MUNKHOLM
Last Name:KARLSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:8901 ROCKVILLE PIKE WRNMMC OB/GYN BLDG 9, FL 2
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20889-0001
Mailing Address - Country:US
Mailing Address - Phone:301-295-2045
Mailing Address - Fax:
Practice Address - Street 1:8901 ROCKVILLE PIKE WRNMMC OB/GYN BLDG 9, FL 2
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-0001
Practice Address - Country:US
Practice Address - Phone:301-295-2045
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-15
Last Update Date:2023-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101273449208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice