Individual
LORI ANN KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RT
Contact information
Practice address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1000
Mailing address
PO BOX 316, ELEPHANT BUTTE, NM 87935-0316
(567) 303-5258
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
RCP4067
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RCP4067
NEW MEXICO RESPIRATORY CARE BOARD
NM
Enumeration date
09/02/2020
Last updated
09/02/2020
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