Individual provider · Type 1 NPI
Lara Conovaloff, PA-C
Medical Physician Assistant · Hollywood, CA
NPI number
1801229356
Active
Practice location
6430 Selma Ave
Hollywood, CA 90028-7311
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 23167 (CA) |
Medical Physician Assistant: Definition to come...
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About NPI 1801229356
Lara Conovaloff, PA-C's National Provider Identifier is 1801229356, issued on Aug 19, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Hollywood, CA. The record was last updated on Apr 11, 2014.