Provider Demographics
NPI:1598369100
Name:LA LONDE, KARRIE A
Entity Type:Individual
Prefix:MS
First Name:KARRIE
Middle Name:A
Last Name:LA LONDE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:307 LUTTERBEIN ST
Mailing Address - Street 2:
Mailing Address - City:EDGERTON
Mailing Address - State:OH
Mailing Address - Zip Code:43517-9621
Mailing Address - Country:US
Mailing Address - Phone:419-212-6868
Mailing Address - Fax:419-298-2623
Practice Address - Street 1:01901 CTY RD C-50
Practice Address - Street 2:
Practice Address - City:EDGERTON
Practice Address - State:OH
Practice Address - Zip Code:43517
Practice Address - Country:US
Practice Address - Phone:419-212-6868
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-24
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant