King-Frederick, Lara Ellen

King-Frederick, Lara Ellen is an individual health care provider with primary practice located at 16061 Bear Valley Rd Suite 7, Hesperia CA 92345-1730. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. King-Frederick, Lara Ellen can be contacted via phone (760) 948-0980.

Contact Information

Primary practice address
16061 Bear Valley Rd Suite 7 Hesperia CA 92345-1730
Phone: (760) 948-0980
Fax: (760) 948-3510
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 10643 California

Profile Details

NPI number 1548587272
LBN Legal business name King-Frederick, Lara Ellen
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2010
Last updated Apr 20th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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