Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 5586 | LA |
NPI | 1003059940 |
---|---|
Provider Name | Dr. Karen M. Strickland |
First Address | Denham Springs, LA 70726 |
Second Address | Denham Springs, LA 70726 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2009 |
Last Update Date | 08/04/2009 |