Koljonen, Lara Joan

Koljonen, Lara Joan is an individual health care provider with primary practice located at 2801 4Th Ave , San Diego CA 92103-6207. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Acupuncturist, Other Service Providers / Mechanotherapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Other Service Providers / Acupuncturist is her primary health care specialty. Koljonen, Lara Joan can be contacted via phone (619) 564-8303.

Contact Information

Primary practice address
2801 4Th Ave San Diego CA 92103-6207
Phone: (619) 564-8303
Fax: (619) 996-2153
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X 12326 California
Other Service Providers / Mechanotherapist 172M00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X

Profile Details

NPI number 1972818672
LBN Legal business name Koljonen, Lara Joan
Credentials Licensed Acupuncturist (LAC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2010
Last updated Jul 14th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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