Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0401X | Internist - Addiction Medicine | G0839994 | CA |
NPI | 1508079807 |
---|---|
Provider Name | Dr. Lori Deene Karan |
First Address | Burlingame, CA 94010 |
Second Address | San Francisco, CA 94143 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2007 |
Last Update Date | 08/07/2007 |