Individual
MS. KAREN KOTITSCHKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
191 S. BUENA VISTA STREET,, SUITE #215 LAKESIDE COMMUNITY HEALTHCARE, BURBANK, CA 91505-4505
(818) 295-6944
Mailing address
191 S. BUENA VISTA STREET,, SUITE #215 LAKESIDE COMMUNITY HEALTHCARE, BURBANK, CA 91505-4505
(818) 295-6944
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
21210
CA
Other
Enumeration date
01/05/2012
Last updated
02/12/2013
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