Provider Demographics
NPI:1265896294
Name:LANDKROON, KARAN
Entity type:Individual
Prefix:
First Name:KARAN
Middle Name:
Last Name:LANDKROON
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 1:933 LEWIS DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-2261
Mailing Address - Country:US
Mailing Address - Phone:407-960-4472
Mailing Address - Fax:407-960-4472
Practice Address - Street 1:933 LEWIS DR
Practice Address - Street 2:SUITE B
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-2261
Practice Address - Country:US
Practice Address - Phone:407-960-4472
Practice Address - Fax:407-960-4472
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-06
Last Update Date:2016-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP 3276171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist