Organization · Type 2 NPI
Laurie M. Woll D.o.
Medical Physician Assistant · Montclair, CA
NPI number
1801187083
Active
Practice location
9301 Central Ave Ste 201
Montclair, CA 91763-2446
Fax (909) 621-4900
Mailing address
9301 Central Ave., Suite 201
Montclair, CA 91763
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA17704 (CA) |
Medical Physician Assistant: Definition to come...
Another provider at this address
About NPI 1801187083
Laurie M. Woll D.o.'s National Provider Identifier is 1801187083, issued on Apr 22, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Montclair, CA. The record was last updated on Apr 22, 2011.