Healthcare Provider Details

I. General information

NPI: 1275463887
Provider Name (Legal Business Name): KAREN LAUZON RD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2026
Last Update Date: 05/23/2026
Certification Date: 05/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 POINTE PL
KENNETT SQUARE PA
19348-1205
US

IV. Provider business mailing address

22 POINTE PL
KENNETT SQUARE PA
19348-1205
US

V. Phone/Fax

Practice location:
  • Phone: 302-354-5263
  • Fax:
Mailing address:
  • Phone: 302-354-5263
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number832620
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: