Individual
DR. LAURIE M WOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
9301 CENTRAL AVE, #201, MONTCLAIR, CA 91763
(909) 621-5005
(909) 621-4900
Mailing address
9301 CENTRAL AVE, #201, MONTCLAIR, CA 91763
(909) 621-5005
(909) 621-4900
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
20A4394
CA
Other
Enumeration date
11/08/2006
Last updated
05/08/2013
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