Individual
DR. LUNSFORD RICHARDSON KING JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2131 SOUTH 17TH STREET, WILMINGTON, NC 28401-7407
(910) 343-7597
(910) 791-6890
Mailing address
PO BOX 602172, CHARLOTTE, NC 28260-2172
(704) 348-4929
(704) 348-5846
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
200100392
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1286V
BLUE CROSS BLUE SHIELD
NC
01
—
268476000
MAGELLAN
NC
01
—
338926
VALUE OPTIONS
NC
01
—
7254255
AETNA
NC
05
—
891286V
—
NC
05
—
Q0039N
—
SC
Enumeration date
10/26/2006
Last updated
04/01/2010
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