Individual
LAURIE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
162 LEGACY OAKS DR, KNIGHTDALE, NC 27545-6556
(919) 385-3666
(919) 660-8615
Mailing address
149 BEAVER DAM DR, YOUNGSVILLE, NC 27596-9600
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2389
NC
Other
Enumeration date
11/16/2013
Last updated
12/21/2021
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