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Individual

DR. ROBERT LAWRENCE KING

Active
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Individual

DR. ROBERT LAWRENCE KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
11013296A
IN
2085R0204X
Vascular & Interventional Radiology Physician
01066161A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201061450
IN
01
P01085957
RR MEDICARE PIN
IN
Enumeration date
06/22/2007
Last updated
11/09/2012
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