LAVERNE KING, R.T. (R)(M)

Radiologic Technologist - Mammography

Active Individual
NPI: 1255578043

Practice Address

167 N. MAIN ST.
Tuba City, AZ 86045

Phone: (928) 283-2198

Specialties

Specialty Code Primary License
Radiologic Technologist 247100000X No 14515 (AZ)
Radiologic Technologist - Mammography 2471M2300X Yes 2777 (AZ)

Frequently Asked Questions

NPI 1255578043 is the National Provider Identifier for LAVERNE KING, R.T. (R)(M), a Radiologic Technologist - Mammography provider located in Tuba City, AZ. This NPI was enumerated on January 15, 2009.
LAVERNE KING, R.T. (R)(M) practices at 167 N. MAIN ST., Tuba City, AZ 86045.

Quick Facts

NPI
1255578043
Type
Individual
Enumerated
Jan 15, 2009
Last Updated
Jan 15, 2009

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