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Individual

DR. LAWRENCE P KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1005 MAR WALT DR, PEDIATRIC DEPARTMENT, FORT WALTON BEACH, FL 32547-6707
(850) 863-8203
(850) 862-0977
Mailing address
1005 MAR WALT DR, PEDIATRIC DEPARTMENT, FORT WALTON BEACH, FL 32547-6707
(850) 863-8203
(850) 862-0977

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME26981
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
055399900
FL
Enumeration date
12/16/2005
Last updated
10/07/2011
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