Provider Demographics
NPI:1265780886
Name:BRAUNSTEIN, KATHERINE LEE (LAC)
Entity type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:LEE
Last Name:BRAUNSTEIN
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 1:7160 OLALLA CANYON RD
Mailing Address - Street 2:
Mailing Address - City:CASHMERE
Mailing Address - State:WA
Mailing Address - Zip Code:98815-9456
Mailing Address - Country:US
Mailing Address - Phone:509-782-1262
Mailing Address - Fax:
Practice Address - Street 1:7160 OLALLA CANYON RD
Practice Address - Street 2:
Practice Address - City:CASHMERE
Practice Address - State:WA
Practice Address - Zip Code:98815-9456
Practice Address - Country:US
Practice Address - Phone:509-782-1262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-29
Last Update Date:2012-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC60285321171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist