Provider Demographics
NPI:1942631353
Name:KARR, ELIZABETH LOUISE
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:LOUISE
Last Name:KARR
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 1:2275 HUNTINGTON DR # 274
Mailing Address - Street 2:
Mailing Address - City:SAN MARINO
Mailing Address - State:CA
Mailing Address - Zip Code:91108-2640
Mailing Address - Country:US
Mailing Address - Phone:626-673-3800
Mailing Address - Fax:
Practice Address - Street 1:2275 HUNTINGTON DR # 274
Practice Address - Street 2:
Practice Address - City:SAN MARINO
Practice Address - State:CA
Practice Address - Zip Code:91108-2640
Practice Address - Country:US
Practice Address - Phone:626-673-3800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-11
Last Update Date:2013-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory