Provider Demographics
NPI:1942282983
Name:TURGEON, KAREN LARSON (MD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:LARSON
Last Name:TURGEON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26908 DETROIT RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-2398
Mailing Address - Country:US
Mailing Address - Phone:440-482-8323
Mailing Address - Fax:440-808-1606
Practice Address - Street 1:26908 DETROIT RD
Practice Address - Street 2:SUITE 103
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-2398
Practice Address - Country:US
Practice Address - Phone:440-482-8323
Practice Address - Fax:440-808-1606
Is Sole Proprietor?:No
Enumeration Date:2005-11-16
Last Update Date:2020-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH055498207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0785995Medicaid
OH0785995Medicaid
E33936Medicare UPIN