Provider Demographics
NPI:1558660696
Name:LABOISSONNIERE, KAROLINA A (DC)
Entity Type:Individual
Prefix:MRS
First Name:KAROLINA
Middle Name:A
Last Name:LABOISSONNIERE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MS
Other - First Name:KAROLINA
Other - Middle Name:A
Other - Last Name:LOPACINSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:45 LYMAN ST
Mailing Address - Street 2:SUITE 22
Mailing Address - City:WESTBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01581-2628
Mailing Address - Country:US
Mailing Address - Phone:508-339-4091
Mailing Address - Fax:
Practice Address - Street 1:45 LYMAN ST
Practice Address - Street 2:SUITE 22
Practice Address - City:WESTBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01581-2628
Practice Address - Country:US
Practice Address - Phone:508-339-4091
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-15
Last Update Date:2015-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
MA3454111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program