Individual
LAURA MARIE PROLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000
Mailing address
453 QUARRY RD # 5327, PALO ALTO, CA 94304-1419
(650) 497-8000
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
20783
NV
207T00000X
Neurological Surgery Physician
Primary
A126464
CA
207T00000X
Neurological Surgery Physician
MD60928831
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831455781
—
WA
Enumeration date
04/04/2012
Last updated
04/26/2024
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