Healthcare Provider Details

I. General information

NPI: 1700560372
Provider Name (Legal Business Name): KAREN P LAGARDA RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2023
Last Update Date: 06/13/2023
Certification Date: 06/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2002 MEDICAL PKWY STE 250
ANNAPOLIS MD
21401-3279
US

IV. Provider business mailing address

8102 LAKECREST DR
GREENBELT MD
20770-3318
US

V. Phone/Fax

Practice location:
  • Phone: 443-481-4016
  • Fax:
Mailing address:
  • Phone: 240-380-8549
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: