Individual
MRS. LAUREN GODWIN KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
5955 AIRPORT BLVD, MOBILE, AL 36608-3135
(251) 633-0573
(251) 633-7367
Mailing address
PO BOX 7987, MOBILE, AL 36670-0987
(251) 633-0573
(251) 633-7367
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1-129469
AL
363LF0000X
Family Nurse Practitioner
1-129469
AL
363LG0600X
Gerontology Nurse Practitioner
Primary
1-129469
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06809724
MS MEDICAID
MS
01
—
102I507798
MEDICARE
AL
05
—
191938
—
AL
05
—
210456
—
AL
05
—
211441
—
AL
05
—
212096
—
AL
05
—
213111
—
AL
05
—
214623
—
AL
01
—
4189859
AETNA
AL
01
—
511-81861
BCBS
AL
01
—
511-81869
BCBS
AL
01
—
511-81870
BCBS
AL
01
—
512-06493
BCBS
AL
01
—
512-06505
BCBS
AL
01
—
6071230
UHC
AL
01
—
P01701557
RR MEDICARE
AL
01
—
Z69058
VIVA HEALTH
AL
Enumeration date
04/27/2016
Last updated
11/06/2023
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