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Contact Information

LAURIE M WOLL, DO
9301 CENTRAL AVE
#201
MONTCLAIR, CA91763
 Phone: 909-621-5005
 Fax: 909-621-4900
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for LAURIE M WOLL · (Female)

NPI Number 1891865044
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 11/08/2006
Last updated 05/08/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 20A4394
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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