MEDICARE: DR. KAREN LYNN ST.LAURENT D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	2269	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1867401004	OTHER	MA	CIGNA HEALTH CARE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	2859278	OTHER	MA	AETNA/US HEALTHCARE
4	27243	OTHER	MA	NEIGHBORHOOD HEALTH PLAN
5	Y39715	OTHER	MA	BC/BS OF MA GROUP ID
6	974044	OTHER	MA	NETWORK HEALTH PLAN
7	4404288	OTHER	MA	UNITED HEALTH CARE
8	798431	OTHER	MA	TUFTS HEALTH PLAN
9	9228734	OTHER	MA	PHCS
10	Y39835	OTHER	MA	BC/BS OF MA GROUP ID
11	Y36596	OTHER	MA	BC/BS OF MA INDIVIDUAL ID
12	351902	OTHER	MA	HARVARD PILGRIM ID

General Provider Information

NPI Number	:	1780660712
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAREN LYNN ST.LAURENT D.C.

Provider Business Mailing Address
First Line	:	24 HOLLAND RD APT 1
Second Line	:
City	:	WORCESTER
State	:	MA
Zip	:	01603-1858
Country	:	US
Telephone Number	:	978-821-7054
Fax Number	:	774-208-0712

Provider Business Practice Location Address
First Line	:	24 HOLLAND RD APT 1
Second Line	:
City	:	WORCESTER
State	:	MA
Zip	:	01603-1858
Country	:	US
Telephone Number	:	978-821-7054
Fax Number	:	774-208-0712

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/21/2005
Last Update Date	:	06/29/2021

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Directions to “ DR. KAREN LYNN ST.LAURENT D.C.” Practice Location

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