Provider Demographics
NPI:1770865412
Name:IGLEHART, KAREN JOYCE (LAC)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:JOYCE
Last Name:IGLEHART
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4452 LAPLATA AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21211-1103
Mailing Address - Country:US
Mailing Address - Phone:443-721-7327
Mailing Address - Fax:
Practice Address - Street 1:10210 S DOLFIELD RD
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-3567
Practice Address - Country:US
Practice Address - Phone:443-721-7327
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-19
Last Update Date:2011-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU01253171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist