Healthcare Provider Details

I. General information

NPI: 1326270349
Provider Name (Legal Business Name): LAUREN JUANITA KING D.C., F.A.C.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2009
Last Update Date: 08/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8318 196TH ST SW 1ST FLOOR
EDMONDS WA
98026-6434
US

IV. Provider business mailing address

8318 196TH ST SW 1ST FLOOR
EDMONDS WA
98026-6434
US

V. Phone/Fax

Practice location:
  • Phone: 425-771-8402
  • Fax:
Mailing address:
  • Phone: 425-771-8402
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License NumberCH00000960
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License NumberCH00000960
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: