Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LAVERNE KING, R.T. (R)(M)
Active2471M2300X · TUBA CITY, AZ
Registration Details
- NPI Number
- 1255578043
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 15, 2009 (17.316896157816 yrs)
- Last Updated
- Jan 15, 2009
- Licenses
-
14515 (AZ)2777 (AZ)
Practice Information
- Address
-
167 N. MAIN ST.TUBA CITY, AZ, 86045Browse AZ providers · Browse ZIP 86045
- Phone
- 9282832198
- Fax
- 9282831312
- Primary Specialty
-
2471M2300X
2471M2300X
- Additional Specialty
- 2471M2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.