King, Laurel

King, Laurel is an individual health care provider with primary practice located at 1757 W Kirby Ave , Champaign IL 61821-5500. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. King, Laurel can be contacted via phone (217) 383-3398.

Contact Information

Primary practice address
1757 W Kirby Ave Champaign IL 61821-5500
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X Illinois

Profile Details

NPI number 1326170481
LBN Legal business name King, Laurel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2007
Last updated Jul 8th, 2007 - about 17 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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