Individual
LORI KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN, CDE
Contact information
Practice address
14211 WHITE CREEK AVE NE, CEDAR SPRINGS, MI 49319-8168
(231) 250-1541
Mailing address
14155 205TH AVE, BIG RAPIDS, MI 49307-9208
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
4704248159
MI
Other
Enumeration date
06/13/2017
Last updated
06/13/2017
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