| NPI | 1104102664 |
|---|---|
| Former Name | LAUREN B KING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO PA.003429) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA.0003429) |
| 363A00000X Physician Assistant (Licence: UT 108417431206) | |
| Enumeration Date | 2011-10-28 |
| Last Update Date | 2024-02-16 |