Wallace, Lauren

Wallace, Lauren is an individual health care provider with primary practice located at 1 E Clark Bass Blvd Ste 201 , Mcalester OK 74501-4209. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Wallace, Lauren can be contacted via phone (918) 421-6753.

Contact Information

Primary practice address
1 E Clark Bass Blvd Ste 201 Mcalester OK 74501-4209
Phone: (918) 421-6753
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 4427 Oklahoma

Profile Details

NPI number 1932851441
LBN Legal business name Wallace, Lauren
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2022
Last updated Feb 14th, 2022 - about 4 years 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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