Individual
KAREN GLADSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
439 S UNION ST, LAWRENCE, MA 01843-2837
(978) 686-2983
(978) 686-0684
Mailing address
439 S UNION ST, LAWRENCE, MA 01843-2837
(978) 686-2983
(978) 686-0684
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3795
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0371441
—
MA
01
—
W22052
BLUE SHIELD
MA
Enumeration date
07/18/2006
Last updated
07/08/2007
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