Provider Demographics
NPI:1972862092
Name:HOLZER, LAURA EMILY (MD)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:EMILY
Last Name:HOLZER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 991
Mailing Address - Street 2:
Mailing Address - City:SUN CITY
Mailing Address - State:CA
Mailing Address - Zip Code:92586
Mailing Address - Country:US
Mailing Address - Phone:951-301-9339
Mailing Address - Fax:951-301-3980
Practice Address - Street 1:29798 HAUN RD
Practice Address - Street 2:STE 108
Practice Address - City:MENIFEE
Practice Address - State:CA
Practice Address - Zip Code:92586-6541
Practice Address - Country:US
Practice Address - Phone:714-202-2330
Practice Address - Fax:714-202-2333
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-09
Last Update Date:2018-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA131150207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine