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Individual

DR. LAEL CONWAY DUNCAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1125 SIR FRANCIS DRAKE BLVD, KENTFIELD, CA 94904-1418
(415) 456-9680
(415) 485-3507
Mailing address
1100 LARKSPUR LANDING CIR, STE 10, LARKSPUR, CA 94939-1836
(415) 924-4660

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
G87317
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
129127
L & I
WA
01
8021123
DSHS
WA
Enumeration date
06/15/2005
Last updated
01/12/2021
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