Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 14512 | TN |
NPI | 1033446380 |
---|---|
Provider Name | Mrs. Lauren Elizabeth King |
First Address | Nashville, TN 37232-0001 |
Second Address | Nashville, TN 37232-0005 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/11/2009 |
Last Update Date | 15/10/2020 |