Conovaloff, Lara

Conovaloff, Lara is an individual health care provider with primary practice located at 6430 Selma Ave , Hollywood CA 90028-7311. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Conovaloff, Lara can be contacted via phone (323) 848-4522.

Contact Information

Primary practice address
6430 Selma Ave Hollywood CA 90028-7311
Phone: (323) 848-4522
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 23167 California

Profile Details

NPI number 1801229356
LBN Legal business name Conovaloff, Lara
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2013
Last updated Apr 11th, 2014 - about 11 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.

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