| Doctor Name: | DR. LAURENCE WILBUR HARTLEY |
| NPI Number: | 1083647226 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | A25739 |
| Business Practice Address: | 1165 S Dora St Suite G 2 Ukiah, CA - 954828325 |
| Business Phone Number: | 7074635535 |
| Business Fax Number: | 7074630591 |
| Mailing Address: | 1165 S Dora St, Suite G 2 UKIAH |
| State: | CA |
| Postal Code: | 954828325 |
| Phone Number: | 7074635535 |
| Fax Number: | 7074630591 |
| NPI Enumeration Date: | 07/09/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | A25739 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |