Provider Demographics
NPI:1023984663
Name:VEGA ROJAS, KAREN ANDREA (LAC, DIPL OM)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:ANDREA
Last Name:VEGA ROJAS
Suffix:
Gender:F
Credentials:LAC, DIPL OM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:195 13TH ST NE UNIT 1512
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-5037
Mailing Address - Country:US
Mailing Address - Phone:267-234-8817
Mailing Address - Fax:
Practice Address - Street 1:3421 RIDGE RD
Practice Address - Street 2:
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30519-7222
Practice Address - Country:US
Practice Address - Phone:267-234-8817
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-13
Last Update Date:2025-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA523171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty