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Individual

LAURIE MARHA KING

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MSN CNP

Contact information

Practice address
12900 RIVERDALE DR NW, COON RAPIDS, MN 55448-1063
(612) 659-7111
Mailing address
9650 HOWARD LAKE DR NE, FOREST LAKE, MN 55025-8430
(651) 464-7989

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R0974673
MN

Other

Enumeration date
09/15/2005
Last updated
04/19/2026
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