Individual
LAURA ELIZABETH GANNAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
901 NEVIN AVE, RICHMOND, CA 94801-3143
(510) 307-1500
Mailing address
1800 HARRISON ST FL 7, OAKLAND, CA 94612-3466
(510) 625-6262
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
A64747
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A647470
—
CA
Enumeration date
11/15/2006
Last updated
01/10/2022
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