Lara Conovaloff, PA-C
NPI #1801229356 in Hollywood, California
Provider Information
- NPI Number
- 1801229356
- Entity Type
- Individual
- Name
- Lara Conovaloff, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Aug 19, 2013
- Last Updated
- Apr 11, 2014
Practice Location
- Address
- 6430 SELMA AVE
- City
- Hollywood
- State
- California
- ZIP Code
- 90028-7311
- Phone
- (323) 848-4522
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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