Provider Demographics
NPI:1780660712
Name:ST.LAURENT, KAREN LYNN (DC)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:LYNN
Last Name:ST.LAURENT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:24 HOLLAND RD APT 1
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01603-1858
Mailing Address - Country:US
Mailing Address - Phone:978-821-7054
Mailing Address - Fax:774-208-0712
Practice Address - Street 1:24 HOLLAND RD APT 1
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01603-1858
Practice Address - Country:US
Practice Address - Phone:978-821-7054
Practice Address - Fax:774-208-0712
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-21
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2269111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1867401004OtherCIGNA HEALTH CARE
MA1612913Medicaid
MA2859278OtherAETNA/US HEALTHCARE
MA27243OtherNEIGHBORHOOD HEALTH PLAN
MAY39715OtherBC/BS OF MA GROUP ID
MA974044OtherNETWORK HEALTH PLAN
MA4404288OtherUNITED HEALTH CARE
MA798431OtherTUFTS HEALTH PLAN
MA9228734OtherPHCS
MAY39835OtherBC/BS OF MA GROUP ID
MAY36596OtherBC/BS OF MA INDIVIDUAL ID
MA351902OtherHARVARD PILGRIM ID
MA974044OtherNETWORK HEALTH PLAN
MA2859278OtherAETNA/US HEALTHCARE