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DR. LAURENCE E WOLF

>> Specialist >> Other Service Providers

Registrant NPI Number: 1215264379

Individual Registrant:
DR. LAURENCE E WOLF 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
32 ROSS COMMON SUITE 250 ROSS, CA 94957 US
Tel: 415-461-1180  Fax: 415-461-1108

Contact information for business:
PO BOX 1603  ROSS, CA 94957-1603 US
Tel: 415-461-1180  Fax: 415-461-1108

Registration Information:
NPI: 1215264379
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y174400000XOther Service Providers
Specialist
CAG86721

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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