Individual
KAREN DIANE FARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
105 E LINCOLN AVE, LANCASTER, WI 53813-2019
(608) 723-3100
(866) 560-8783
Mailing address
105 E LINCOLN AVE, LANCASTER, WI 53813-2019
(608) 723-3100
(866) 560-8783
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02006114A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300043033
—
IN
Enumeration date
05/29/2017
Last updated
05/07/2025
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