Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NI0013X | Independent Medical Examiner | CH00000960 | WA |
Y | 111NX0800X | Chiropractor Orthopedic Specialist | CH00000960 | WA |
NPI | 1326270349 |
---|---|
Provider Name | Dr. Lauren Juanita King |
First Address | Edmonds, WA 98026-6434 |
Second Address | Edmonds, WA 98026-6434 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2009 |
Last Update Date | 10/08/2009 |