King, Laverne

King, Laverne is an individual health care provider with primary practice located at 167 N. Main St. , Tuba City AZ 86045. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist, Technologists, Technicians & Other Technical Service Providers / Mammography. Technologists, Technicians & Other Technical Service Providers / Mammography is her primary health care specialty. King, Laverne can be contacted via phone (928) 283-2198.

Contact Information

Primary practice address
167 N. Main St. Tuba City AZ 86045
Phone: (928) 283-2198
Fax: (928) 283-1312
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist 247100000X 14515 Arizona
Technologists, Technicians & Other Technical Service Providers / Mammography 2471M2300X 2777 Arizona

Profile Details

NPI number 1255578043
LBN Legal business name King, Laverne
Credentials R.T. (R)(M)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2009
Last updated Jan 15th, 2009 - about 15 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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