Wallace, Laurie

Wallace, Laurie is an individual health care provider with primary practice located at 28050 Grand River Ave Er Department, Farmington Hills MI 48336-5919. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as her primary health care specialty. Wallace, Laurie can be contacted via phone (248) 471-8000.

Contact Information

Primary practice address
28050 Grand River Ave Er Department Farmington Hills MI 48336-5919

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X LW010385 Michigan

Profile Details

NPI number 1699716613
LBN Legal business name Wallace, Laurie
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Nov 28th, 2016 - about 8 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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All States NPI 1699716613 NPPES
Michigan MEDICAID 114570889

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