Conley, Laura Ellen
Conley, Laura Ellen is an individual health care provider with primary practice located at 4323 W Riverside Dr , Burbank CA 91505-4044. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Conley, Laura Ellen can be contacted via phone (818) 556-2700.Contact Information
Primary practice address
4323 W Riverside Dr
Burbank CA 91505-4044
Phone: (818) 556-2700
Fax: (818) 295-3450
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A98933 | California |
Profile Details
| NPI number | 1649468992 |
|---|---|
| LBN Legal business name | Conley, Laura Ellen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2007 |
| Last updated | Dec 11th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649468992 | NPPES |
| California | MEDICAID | 00A989330 |
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