Individual provider · Type 1 NPI

Lara Ellen King-Frederick, N.P.

Family Nurse Practitioner · Hesperia, CA

NPI number 1548587272 Active

Practice location

16061 Bear Valley Rd, Suite 7
Hesperia, CA 92345-1730

Call (760) 948-0980 Map

Fax (760) 948-3510

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X10643 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1548587272

Lara Ellen King-Frederick, N.P.'s National Provider Identifier is 1548587272, issued on Apr 20, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Hesperia, CA. The record was last updated on Apr 20, 2010.