Individual
LAURALYN REYNOLDS MARKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
24401 CALLE DE LA LOUISA STE 200, LAGUNA HILLS, CA 92653-3624
(949) 452-7200
Mailing address
PO BOX 51787, LOS ANGELES, CA 90051-6087
(949) 452-7200
(949) 464-0720
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G66597
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G665970
BC/BS OF CA
CA
01
—
00G665970
BLUE SHIELD OF CA
—
05
—
00G665970
—
CA
05
—
1396744793
—
CA
01
—
300123286
RAILROAD MEDICARE
—
Enumeration date
07/18/2005
Last updated
04/19/2021
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