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Contact Information

LAURA A WILSON
505 S MAIN ST STE 525
ORANGE, CA92868-4553
 Phone: 714-456-5631
 Fax: 714-285-0389
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Genetics (M.D.)

207SG0201X
 

Medical Biochemical Genetics

207SG0207X
Indicates primary specialty

NPI Profile & details for LAURA A WILSON · (Female)

NPI Number 1841794567
Status Active
Credentials
Entity Individual
Enumeration date 03/19/2018
Last updated 06/06/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CA License # A165832
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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