LAURIE M. WOLL, D.O., DERMATOLOGY, A MEDICAL CORP – NPI #1477740546
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Health Care Provider Taxonomy Code for Specialist

LAURIE M. WOLL, D.O., DERMATOLOGY, A MEDICAL CORP is a specialist located in MONTCLAIR, CA. NPPES has assigned the NPI number 1477740546 to LAURIE M. WOLL, D.O., DERMATOLOGY, A MEDICAL CORP on October 02, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 174400000X from the Health Care Provider Taxonomy code set, which is classified as Specialist.

The NPI profile was previously updated about 16 years ago on Nov 17, 2010. See the complete NPI profile for LAURIE M. WOLL, D.O., DERMATOLOGY, A MEDICAL CORP below.

NPI Profile for
LAURIE M. WOLL, D.O., DERMATOLOGY, A MEDICAL CORP

NPI Number
1477740546
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LAURIE M. WOLL, D.O., DERMATOLOGY, A MEDICAL CORP
Primary location
9301 CENTRAL AVE
MONTCLAIR, CA 91763-2420
Phone: (909) 621-5005 Fax: (909) 621-4900
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LAURIE WOLL
PRESIDENT/OWNER
Phone: (909) 621-5005
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
174400000X
- Specialist (Primary)		 CA 20A4394

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.