Provider Demographics
NPI:1134716749
Name:KARIN C NELSON LAC INC
Entity type:Organization
Organization Name:KARIN C NELSON LAC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED ACUPUNCTURIST
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:CHRISTINE
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:206-463-0900
Mailing Address - Street 1:PO BOX 2960
Mailing Address - Street 2:
Mailing Address - City:VASHON
Mailing Address - State:WA
Mailing Address - Zip Code:98070-2960
Mailing Address - Country:US
Mailing Address - Phone:206-463-0900
Mailing Address - Fax:
Practice Address - Street 1:17520 VASHON HWY SW STE 211
Practice Address - Street 2:
Practice Address - City:VASHON
Practice Address - State:WA
Practice Address - Zip Code:98070-4686
Practice Address - Country:US
Practice Address - Phone:206-463-0900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-29
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty