Provider Demographics
NPI:1760772065
Name:KARP, LAUREN CHRISTIE
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:CHRISTIE
Last Name:KARP
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 1:1625 BUSHNELL AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91030-4901
Mailing Address - Country:US
Mailing Address - Phone:626-862-8119
Mailing Address - Fax:
Practice Address - Street 1:1625 BUSHNELL AVE
Practice Address - Street 2:
Practice Address - City:SOUTH PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91030-4901
Practice Address - Country:US
Practice Address - Phone:626-862-8119
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-08
Last Update Date:2011-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A11646207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine