Provider Demographics
NPI:1396979209
Name:SOLOMON, KAREN CELESTE (LPN)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:CELESTE
Last Name:SOLOMON
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4152 INVERRARY DR
Mailing Address - Street 2:1-211
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33319-4500
Mailing Address - Country:US
Mailing Address - Phone:954-639-3827
Mailing Address - Fax:
Practice Address - Street 1:4152 INVERRARY DR
Practice Address - Street 2:1-211
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33319-4500
Practice Address - Country:US
Practice Address - Phone:954-639-3827
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-06
Last Update Date:2009-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL5158097164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse