Stallone, Laura A.

Stallone, Laura A. is an individual health care provider with primary practice located at 1114 6Th St , Modesto CA 95354-2203. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Stallone, Laura A. can be contacted via phone (209) 576-2845.

Contact Information

Primary practice address
1114 6Th St Modesto CA 95354-2203
Phone: (209) 576-2845
Fax: (209) 236-1290
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X A23311 California

Profile Details

NPI number 1194708370
LBN Legal business name Stallone, Laura A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Mar 7th, 2023 - about 6 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1194708370 NPPES
California Other 00A233110 BLUE SHIELD OF CA PIN

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