Individual
LARA N. KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4803 29TH AVE STE A, MERIDIAN, MS 39305-2675
(601) 286-5477
(601) 286-5825
Mailing address
4803 29TH AVE STE A, MERIDIAN, MS 39305-2675
(601) 286-5477
(601) 286-5825
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R856339
MS
363LF0000X
Family Nurse Practitioner
R856339
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01384559
—
MS
Enumeration date
10/05/2011
Last updated
06/05/2024
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