Individual provider · Type 1 NPI

Lara Wolff, MD

Military Health Care Provider · San Diego, CA

NPI number 1821884222 Active

Practice location

34800 Bob Wilson Dr
San Diego, CA 92134-1098

Mailing address

180 N Tipton Ter
Lecanto, FL 34461-8664

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000X0101290505 (VA)

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1821884222

Lara Wolff, MD's National Provider Identifier is 1821884222, issued on Apr 15, 2025. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in San Diego, CA. The record was last updated on Jul 25, 2026.