Individual
LAUREN ELIZABETH KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5301 E GRANT RD, ORTHOPAEDIC BLDG, 1ST FLOOR, TUCSON, AZ 85712-2805
(520) 784-6200
(520) 784-6109
Mailing address
PO BOX 31630, TUCSON, AZ 85751-1630
(520) 784-6200
(520) 784-6109
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
AZ
363AM0700X
Medical Physician Assistant
—
AZ
363AS0400X
Surgical Physician Assistant
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
745848
—
AZ
Enumeration date
09/10/2012
Last updated
03/18/2014
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