Individual
LORELLE EILEEN CARLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
350 HAWTHORNE AVE, DEPT. OF PATHOLOGY, OAKLAND, CA 94609-3108
(510) 869-6567
(510) 869-6707
Mailing address
350 HAWTHORNE AVE, DEPT. OF PATHOLOGY, OAKLAND, CA 94609-3108
(510) 869-6567
(510) 869-6707
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
A71144
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A71144
CA
Other
Enumeration date
03/17/2006
Last updated
11/13/2024
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