DR. LAURIE M WOLL DO NPI 1891865044

NPI Information

  • NPI: 1891865044
  • Provider Name: DR. LAURIE M WOLL, DO
  • Classification: Dermatology - 207N00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • CLIA Number: 05D0563935
  • Address: 9301 CENTRAL AVE
    #201
    MONTCLAIR, CA
    ZIP 91763
  • Phone: (909) 621-5005

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NPI Details

DR. Laurie M Woll, DO is a dermatology in Montclair, CA with 51 years of experience. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. DR. Laurie M Woll, DO NPI is 1891865044. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9301 CENTRAL AVE
#201
MONTCLAIR, CA
ZIP 91763
Phone: (909) 621-5005
Fax: (909) 621-4900

The NPI 1891865044 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 05D0563935 - physician office with a certificate type of Certificate of Compliance.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg (HCPCS:J7345)
  • Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Destruction of precancer skin growth, 1 growth (HCPCS:17000)
  • Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm (HCPCS:11301)
  • Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm (HCPCS:11311)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm (HCPCS:11402)
  • Destruction of skin growth, 1-14 growths (HCPCS:17110)
  • Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm (HCPCS:11306)
  • Punch biopsy, first skin growth (HCPCS:11104)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm (HCPCS:11602)
  • Destruction of precancer skin growth, 15 or more growths (HCPCS:17004)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm (HCPCS:11302)
  • Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm (HCPCS:11642)
  • Injection into skin growth, 1-7 growths (HCPCS:11900)
  • Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm (HCPCS:11307)
  • Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm (HCPCS:11622)
  • Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm (HCPCS:11312)
  • Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm (HCPCS:11603)
  • Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm (HCPCS:11422)
  • Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm (HCPCS:11442)
  • Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm (HCPCS:11403)
  • Application of light with debridement to destroy precancer skin growth (HCPCS:96574)
  • Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less (HCPCS:11310)
  • Punch biopsy, each additional skin growth (HCPCS:11105)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Removal of skin tag, 1-15 skin tags (HCPCS:11200)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 11/8/2006 and was last updated on 5/8/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207N00000XDermatology20A4394CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1B58242MEDICARE UPIN
2ZZZ88928ZMEDICARE PINCALIFORNIA
3W10544MEDICARE PINCALIFORNIA
4000005722MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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