Provider Demographics
NPI:1356705875
Name:MCLAUGHLIN, KATRINA (LAC)
Entity type:Individual
Prefix:
First Name:KATRINA
Middle Name:
Last Name:MCLAUGHLIN
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 1:580 BURBANK ST UNIT 110
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80020-7166
Mailing Address - Country:US
Mailing Address - Phone:720-466-3884
Mailing Address - Fax:720-316-6016
Practice Address - Street 1:580 BURBANK ST UNIT 110
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80020-7166
Practice Address - Country:US
Practice Address - Phone:720-466-3884
Practice Address - Fax:720-316-6016
Is Sole Proprietor?:No
Enumeration Date:2016-04-11
Last Update Date:2021-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACU.0002172171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist