Individual
LAURIE ANNE CLELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1624 W OLIVE AVE, SUITE F, BURBANK, CA 91506-2459
(818) 843-2835
(818) 843-3310
Mailing address
1624 W OLIVE AVE, SUITE F, BURBANK, CA 91506-2459
(818) 843-2835
(818) 843-3310
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G87623
CA
2085R0202X
Diagnostic Radiology Physician
MD00036175
WA
2085R0202X
Diagnostic Radiology Physician
MD15620
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8226417
—
WA
Enumeration date
06/08/2005
Last updated
07/10/2024
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