Individual
DR. LAURENCE WILBUR HARTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1165 S DORA ST, SUITE G 2, UKIAH, CA 95482-8325
(707) 463-5535
(707) 463-0591
Mailing address
1165 S DORA ST, SUITE G 2, UKIAH, CA 95482-8325
(707) 463-5535
(707) 463-0591
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
A25739
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A257391
—
CA
Enumeration date
07/09/2006
Last updated
07/08/2007
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