Provider Demographics
NPI:1720377823
Name:KARPELSON, LEAH (LICAC)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:
Last Name:KARPELSON
Suffix:
Gender:F
Credentials:LICAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 590689
Mailing Address - Street 2:
Mailing Address - City:NEWTON CENTER
Mailing Address - State:MA
Mailing Address - Zip Code:02459-0006
Mailing Address - Country:US
Mailing Address - Phone:617-953-7029
Mailing Address - Fax:617-607-7416
Practice Address - Street 1:1194 WALNUT ST STE 205
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02461-1269
Practice Address - Country:US
Practice Address - Phone:617-329-1832
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-30
Last Update Date:2016-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA248137171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist