Doctor Name: | LAUREN KING |
NPI Number: | 1093188054 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-C |
License Number: | AP8293 |
Business Practice Address: | 105 S Delaware Dr Apache Junction, AZ - 851206511 |
Business Phone Number: | 4806461001 |
Business Fax Number: | 4806461002 |
Mailing Address: | 105 S Delaware Dr, APACHE JUNCTION |
State: | AZ |
Postal Code: | 851206511 |
Phone Number: | 4806461001 |
Fax Number: | 4806461002 |
NPI Enumeration Date: | 11/12/2015 |
NPI Last Update Date: | 03/07/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP8293 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |