Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175F00000X | Naturopath | ||
Y | 175F00000X | Naturopath | 03--778 | AZ |
NPI | 1053460154 |
---|---|
Provider Name | Dr. Karen Lorraine Freeze |
First Address | Goodyear, AZ 85338-9320 |
Second Address | Goodyear, AZ 85338-9320 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/01/2007 |
Last Update Date | 07/12/2018 |